Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.27 / $917.10 / $8,229.00	Facility		$630.27	$917.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.42 / $734.95 / $921.75	Professional		$644.42	$734.95	$921.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.61 / $627.23 / $998.60	Professional		$517.61	$627.23	$998.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $950.03 / $1,095.92	Facility		$692.16	$950.03	$1,095.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $746.45 / $950.03 / $1,357.18	Professional		$746.45	$950.03	$1,357.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.77 / $850.77 / $850.77	Facility		$850.77	$850.77	$850.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.62 / $917.75 / $1,430.31	Professional		$636.62	$917.75	$1,430.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $746.45	Professional		$32.34	$32.34	$746.45
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.67 / $915.47 / $1,462.39	Professional		$665.67	$915.47	$1,462.39