Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.66 / $787.00 / $8,229.00	Facility		$641.66	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.02 / $665.61 / $819.54	Professional		$590.02	$665.61	$819.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.13 / $598.77 / $894.80	Professional		$494.13	$598.77	$894.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $631.13 / $866.25 / $999.29	Facility		$631.13	$866.25	$999.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.83 / $866.25 / $1,237.50	Professional		$604.83	$866.25	$1,237.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $759.22 / $759.22	Facility		$759.22	$759.22	$759.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.40 / $795.22 / $1,229.30	Professional		$626.40	$795.22	$1,229.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $680.63	Professional		$32.34	$32.34	$680.63
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 $576.02 / $754.35 / $1,269.43	Professional		$576.02	$754.35	$1,269.43