Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.28 / $787.00 / $8,229.00	Facility		$620.28	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.34 / $646.12 / $668.69	Professional		$591.34	$646.12	$668.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,478.80 / $9,565.00 / $16,539.91	Facility		$5,478.80	$9,565.00	$16,539.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.88 / $680.87 / $1,083.75	Professional		$561.88	$680.87	$1,083.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.64 / $878.53 / $1,013.44	Facility		$645.64	$878.53	$1,013.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $613.40 / $878.53 / $1,255.04	Professional		$613.40	$878.53	$1,255.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.15 / $772.15 / $823.87	Facility		$772.15	$772.15	$823.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.43 / $891.10 / $1,421.84	Professional		$656.43	$891.10	$1,421.84
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 $574.82 / $831.57 / $1,313.00	Professional		$574.82	$831.57	$1,313.00