Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.14 / $942.78 / $10,152.00	Facility		$738.14	$942.78	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.93 / $764.45 / $942.78	Professional		$698.93	$764.45	$942.78
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 $616.29 / $746.80 / $1,046.73	Professional		$616.29	$746.80	$1,046.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $725.64 / $995.97 / $1,148.93	Facility		$725.64	$995.97	$1,148.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $711.41 / $995.97 / $1,422.82	Professional		$711.41	$995.97	$1,422.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.68 / $873.68 / $873.68	Facility		$873.68	$873.68	$873.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.38 / $960.34 / $1,461.65	Professional		$742.38	$960.34	$1,461.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $782.55	Professional		$32.34	$32.34	$782.55
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 $695.72 / $936.27 / $1,482.28	Professional		$695.72	$936.27	$1,482.28