Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.09 / $612.00 / $8,229.00	Facility		$481.09	$612.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.09 / $593.79 / $628.34	Professional		$481.09	$593.79	$628.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $486.06 / $713.41	Professional		$401.11	$486.06	$713.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.62 / $652.60 / $752.82	Facility		$478.62	$652.60	$752.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $661.34 / $1,150.16	Professional		$536.05	$661.34	$1,150.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.11 / $857.70 / $857.70	Facility		$483.11	$857.70	$857.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.85 / $767.15 / $1,269.72	Professional		$492.85	$767.15	$1,269.72
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 $540.54 / $842.42 / $1,204.67	Professional		$540.54	$842.42	$1,204.67