Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.17 / $746.25 / $8,229.00	Facility		$476.17	$746.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.48 / $820.43 / $1,049.98	Professional		$705.48	$820.43	$1,049.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.94 / $482.01 / $835.55	Professional		$404.94	$482.01	$835.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.59 / $949.77 / $1,095.64	Facility		$703.59	$949.77	$1,095.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $739.27 / $949.77 / $1,356.82	Professional		$739.27	$949.77	$1,356.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.19 / $838.09 / $838.09	Facility		$454.19	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.26 / $778.90 / $1,209.13	Professional		$604.26	$778.90	$1,209.13
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 $575.23 / $746.98 / $1,373.98	Professional		$575.23	$746.98	$1,373.98