Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.66 / $760.41 / $8,229.00	Facility		$570.66	$760.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.51 / $615.04 / $760.41	Professional		$553.51	$615.04	$760.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.16 / $484.91 / $798.21	Professional		$405.16	$484.91	$798.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $803.01 / $926.33	Facility		$585.04	$803.01	$926.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.58 / $803.01 / $1,147.16	Professional		$573.58	$803.01	$1,147.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.40 / $702.40 / $702.40	Facility		$702.40	$702.40	$702.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $726.28 / $1,139.95	Professional		$532.95	$726.28	$1,139.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $630.94	Professional		$32.34	$32.34	$630.94
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.38 / $708.17 / $1,264.23	Professional		$537.38	$708.17	$1,264.23