Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.89 / $787.00 / $8,229.00	Facility		$635.89	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $729.42 / $872.78	Professional		$635.89	$729.42	$872.78
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 $510.12 / $618.15 / $889.80	Professional		$510.12	$618.15	$889.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.84 / $849.62 / $980.10	Facility		$624.84	$849.62	$980.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $668.58 / $849.62 / $1,213.74	Professional		$668.58	$849.62	$1,213.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.63 / $745.63 / $851.96	Facility		$745.63	$745.63	$851.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.32 / $873.47 / $1,289.43	Professional		$687.32	$873.47	$1,289.43
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 $973.00 / $4,639.00 / $25,249.00	Facility		$973.00	$4,639.00	$25,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.36 / $852.43 / $1,275.48	Professional		$635.36	$852.43	$1,275.48