Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.27 / $787.00 / $8,229.00	Facility		$534.27	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.91 / $623.24 / $673.91	Professional		$532.91	$623.24	$673.91
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 $489.37 / $590.42 / $835.78	Professional		$489.37	$590.42	$835.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.79 / $833.48 / $961.48	Facility		$579.79	$833.48	$961.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $833.48 / $1,190.68	Professional		$581.94	$833.48	$1,190.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.04 / $838.94 / $1,234.73	Professional		$612.04	$838.94	$1,234.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $773.94	Professional		$32.34	$32.34	$773.94
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 $577.01 / $801.38 / $1,194.36	Professional		$577.01	$801.38	$1,194.36