Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.93 / $787.00 / $8,229.00	Facility		$664.93	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.36 / $688.30 / $849.27	Professional		$626.36	$688.30	$849.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.22 / $590.40 / $939.19	Professional		$487.22	$590.40	$939.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.12 / $926.63 / $1,068.94	Facility		$675.12	$926.63	$1,068.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $926.63 / $1,323.76	Professional		$661.88	$926.63	$1,323.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.60 / $804.60 / $804.60	Facility		$804.60	$804.60	$804.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.55 / $894.49 / $1,348.82	Professional		$652.55	$894.49	$1,348.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $728.07	Professional		$32.34	$32.34	$728.07
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.40 / $831.28 / $1,329.92	Professional		$609.40	$831.28	$1,329.92