Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.11 / $896.00 / $8,229.00	Facility		$558.11	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.11 / $649.71 / $757.83	Professional		$558.11	$649.71	$757.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.92 / $622.00 / $856.50	Professional		$515.92	$622.00	$856.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.21 / $867.13 / $1,000.29	Facility		$602.21	$867.13	$1,000.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $619.38 / $867.13 / $1,238.76	Professional		$619.38	$867.13	$1,238.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.96 / $760.33 / $760.33	Facility		$719.96	$760.33	$760.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.83 / $900.97 / $1,240.71	Professional		$613.83	$900.97	$1,240.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $805.19	Professional		$32.34	$32.34	$805.19
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.87 / $820.07 / $1,263.20	Professional		$578.87	$820.07	$1,263.20