Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.09 / $896.00 / $10,152.00	Facility		$649.09	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.17 / $697.82 / $813.20	Professional		$658.17	$697.82	$813.20
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 $518.24 / $627.99 / $981.67	Professional		$518.24	$627.99	$981.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.93 / $926.87 / $1,069.21	Facility		$680.93	$926.87	$1,069.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $728.60 / $926.87 / $1,324.10	Professional		$728.60	$926.87	$1,324.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.64 / $833.63 / $833.63	Facility		$655.64	$833.63	$833.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.64 / $873.59 / $1,433.59	Professional		$655.64	$873.59	$1,433.59
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 $606.27 / $858.65 / $1,411.45	Professional		$606.27	$858.65	$1,411.45