Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.16 / $860.00 / $9,311.00	Facility		$522.16	$860.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.87 / $522.16 / $663.59	Professional		$503.87	$522.16	$663.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.97 / $575.54 / $818.89	Professional		$474.97	$575.54	$818.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.08 / $705.45 / $813.79	Facility		$515.08	$705.45	$813.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.72 / $705.45 / $1,133.75	Professional		$565.72	$705.45	$1,133.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.88 / $620.88 / $620.88	Facility		$620.88	$620.88	$620.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.98 / $770.30 / $1,199.94	Professional		$562.98	$770.30	$1,199.94
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $728.85 / $1,063.32	Professional		$477.29	$728.85	$1,063.32