Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.24 / $752.59 / $8,229.00	Facility		$589.24	$752.59	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.36 / $611.22 / $752.59	Professional		$544.36	$611.22	$752.59
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 $479.25 / $580.74 / $891.90	Professional		$479.25	$580.74	$891.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.50 / $795.40 / $917.55	Facility		$579.50	$795.40	$917.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $624.95 / $795.40 / $1,136.28	Professional		$624.95	$795.40	$1,136.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $697.07 / $697.07 / $697.07	Facility		$697.07	$697.07	$697.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.09 / $791.55 / $1,159.84	Professional		$593.09	$791.55	$1,159.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $624.95	Professional		$32.34	$32.34	$624.95
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 $541.03 / $745.34 / $1,175.93	Professional		$541.03	$745.34	$1,175.93