Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.08 / $804.65 / $8,229.00	Facility		$568.08	$804.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.08 / $644.20 / $807.33	Professional		$568.08	$644.20	$807.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.04 / $583.58 / $898.56	Professional		$496.04	$583.58	$898.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.29 / $834.93 / $963.15	Facility		$608.29	$834.93	$963.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.02 / $834.93 / $1,192.76	Professional		$656.02	$834.93	$1,192.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.39 / $746.39 / $746.39	Facility		$746.39	$746.39	$746.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.76 / $783.40 / $1,254.84	Professional		$613.76	$783.40	$1,254.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $656.02	Professional		$32.34	$32.34	$656.02
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $2,500.00 / $10,113.00	Facility		$719.00	$2,500.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.95 / $815.05 / $1,250.85	Professional		$598.95	$815.05	$1,250.85