Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.11 / $970.73 / $8,229.00	Facility		$555.11	$970.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.11 / $647.05 / $1,003.49	Professional		$555.11	$647.05	$1,003.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.17 / $637.11 / $969.51	Professional		$519.17	$637.11	$969.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $862.48 / $994.94	Facility		$600.38	$862.48	$994.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $677.67 / $862.48 / $1,232.11	Professional		$677.67	$862.48	$1,232.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.48 / $758.48 / $815.90	Facility		$758.48	$758.48	$815.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.39 / $913.04 / $1,356.16	Professional		$645.39	$913.04	$1,356.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $800.88	Professional		$32.34	$32.34	$800.88
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.71 / $833.21 / $1,248.08	Professional		$581.71	$833.21	$1,248.08