Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.63 / $850.84 / $8,229.00	Facility		$740.63	$850.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.03 / $766.97 / $945.95	Professional		$686.03	$766.97	$945.95
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 $604.41 / $732.40 / $1,067.50	Professional		$604.41	$732.40	$1,067.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $728.05 / $999.29 / $1,152.75	Facility		$728.05	$999.29	$1,152.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.70 / $999.29 / $1,427.56	Professional		$784.70	$999.29	$1,427.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.60 / $876.60 / $876.60	Facility		$876.60	$876.60	$876.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.49 / $968.34 / $1,451.15	Professional		$744.49	$968.34	$1,451.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $785.16	Professional		$32.34	$32.34	$785.16
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 $699.14 / $927.48 / $1,474.20	Professional		$699.14	$927.48	$1,474.20