Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.71 / $896.00 / $8,229.00	Facility		$457.71	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.71 / $535.84 / $692.70	Professional		$457.71	$535.84	$692.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.27 / $493.69 / $714.20	Professional		$393.27	$493.69	$714.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.39 / $714.78 / $824.56	Facility		$499.39	$714.78	$824.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $561.62 / $714.78 / $1,021.12	Professional		$561.62	$714.78	$1,021.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.35 / $632.01 / $632.01	Facility		$625.35	$632.01	$632.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.47 / $702.45 / $1,009.76	Professional		$520.47	$702.45	$1,009.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $663.73	Professional		$32.34	$32.34	$663.73
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 $445.50 / $636.44 / $1,037.33	Professional		$445.50	$636.44	$1,037.33