Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.10 / $896.00 / $10,152.00	Facility		$632.10	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.10 / $655.72 / $807.33	Professional		$597.10	$655.72	$807.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.05 / $628.98 / $895.63	Professional		$519.05	$628.98	$895.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $854.95 / $986.25	Facility		$622.90	$854.95	$986.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.67 / $854.95 / $1,221.35	Professional		$610.67	$854.95	$1,221.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.26 / $749.26 / $749.26	Facility		$749.26	$749.26	$749.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.27 / $817.36 / $1,244.94	Professional		$637.27	$817.36	$1,244.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.75	Professional		$32.34	$32.34	$671.75
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 $598.79 / $785.62 / $1,318.89	Professional		$598.79	$785.62	$1,318.89