Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.38 / $787.00 / $8,229.00	Facility		$624.38	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.38 / $713.06 / $937.88	Professional		$624.38	$713.06	$937.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.47 / $693.34 / $884.11	Professional		$582.47	$693.34	$884.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $830.66 / $958.23	Facility		$609.37	$830.66	$958.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.03 / $830.66 / $1,186.66	Professional		$652.03	$830.66	$1,186.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.90 / $728.90 / $728.90	Facility		$728.90	$728.90	$728.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.36 / $893.82 / $1,426.71	Professional		$741.36	$893.82	$1,426.71
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.32 / $908.92 / $1,275.68	Professional		$630.32	$908.92	$1,275.68