Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $772.28 / $8,229.00	Facility		$562.66	$772.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.66 / $646.67 / $833.11	Professional		$562.66	$646.67	$833.11
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 $537.54 / $663.50 / $921.42	Professional		$537.54	$663.50	$921.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.04 / $748.57 / $863.53	Facility		$549.04	$748.57	$863.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.48 / $748.57 / $1,203.05	Professional		$587.48	$748.57	$1,203.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.94 / $658.94 / $735.44	Facility		$658.94	$658.94	$735.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.96 / $842.19 / $1,384.08	Professional		$603.96	$842.19	$1,384.08
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 $591.03 / $857.34 / $1,220.50	Professional		$591.03	$857.34	$1,220.50