Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.72 / $1,194.00 / $13,304.00	Facility		$563.72	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.78 / $634.07 / $744.75	Professional		$597.78	$634.07	$744.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.05 / $548.99 / $878.54	Professional		$453.05	$548.99	$878.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.21 / $833.62 / $961.63	Facility		$613.21	$833.62	$961.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $833.62 / $1,190.88	Professional		$595.44	$833.62	$1,190.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.41 / $761.30 / $761.30	Facility		$569.41	$761.30	$761.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $789.64 / $1,267.07	Professional		$569.41	$789.64	$1,267.07
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 $536.04 / $757.38 / $1,192.14	Professional		$536.04	$757.38	$1,192.14