Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.89 / $984.26 / $8,229.00	Facility		$562.89	$984.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.89 / $655.09 / $1,083.91	Professional		$562.89	$655.09	$1,083.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.80 / $654.26 / $989.76	Professional		$542.80	$654.26	$989.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.26 / $874.85 / $1,009.20	Facility		$608.26	$874.85	$1,009.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.83 / $874.85 / $1,249.78	Professional		$610.83	$874.85	$1,249.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $768.89 / $824.94	Facility		$768.89	$768.89	$824.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.04 / $925.53 / $1,354.76	Professional		$655.04	$925.53	$1,354.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $812.36	Professional		$32.34	$32.34	$812.36
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 $608.17 / $892.19 / $1,269.11	Professional		$608.17	$892.19	$1,269.11