Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.83 / $791.05 / $8,229.00	Facility		$669.83	$791.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.26 / $692.85 / $855.52	Professional		$617.26	$692.85	$855.52
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 $552.39 / $669.38 / $947.10	Professional		$552.39	$669.38	$947.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $658.68 / $904.08 / $1,042.91	Facility		$658.68	$904.08	$1,042.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.24 / $904.08 / $1,291.54	Professional		$631.24	$904.08	$1,291.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.88 / $791.88 / $791.88	Facility		$791.88	$791.88	$791.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.10 / $874.35 / $1,304.50	Professional		$673.10	$874.35	$1,304.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $710.35	Professional		$32.34	$32.34	$710.35
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 $630.66 / $819.81 / $1,393.34	Professional		$630.66	$819.81	$1,393.34