Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.36 / $896.00 / $10,152.00	Facility		$728.36	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $750.44 / $880.41	Professional		$708.53	$750.44	$880.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.80 / $698.96 / $1,055.32	Professional		$576.80	$698.96	$1,055.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.18 / $978.88 / $1,129.21	Facility		$713.18	$978.88	$1,129.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $804.08 / $978.88 / $1,398.40	Professional		$804.08	$978.88	$1,398.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.71 / $877.99 / $877.99	Facility		$735.71	$877.99	$877.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.88 / $976.56 / $1,513.17	Professional		$715.88	$976.56	$1,513.17
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.90 / $907.71 / $1,350.58	Professional		$654.90	$907.71	$1,350.58