Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.32 / $896.00 / $10,152.00	Facility		$627.32	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.60 / $650.22 / $850.32	Professional		$593.60	$650.22	$850.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,567.00 / $4,114.00 / $7,848.00	Facility		$2,567.00	$4,114.00	$7,848.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.38 / $629.87 / $819.55	Professional		$535.38	$629.87	$819.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.67 / $847.80 / $977.99	Facility		$617.67	$847.80	$977.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $591.94 / $847.80 / $1,211.14	Professional		$591.94	$847.80	$1,211.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.94 / $742.94 / $742.94	Facility		$742.94	$742.94	$742.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.72 / $872.50 / $1,343.43	Professional		$631.72	$872.50	$1,343.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $666.13	Professional		$32.34	$32.34	$666.13
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,475.00 / $12,296.00	Facility		$847.00	$1,475.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $899.30 / $1,309.84	Professional		$613.16	$899.30	$1,309.84