Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.50 / $787.00 / $8,229.00	Facility		$618.50	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.51 / $619.42 / $720.16	Professional		$584.51	$619.42	$720.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.77 / $588.65 / $871.28	Professional		$485.77	$588.65	$871.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.51 / $819.18 / $944.98	Facility		$601.51	$819.18	$944.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $571.96 / $819.18 / $1,170.26	Professional		$571.96	$819.18	$1,170.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.74 / $738.56 / $738.56	Facility		$624.74	$738.56	$738.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.29 / $802.11 / $1,289.71	Professional		$602.29	$802.11	$1,289.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.46 / $806.33 / $1,183.74	Professional		$542.46	$806.33	$1,183.74