Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $787.00 / $8,229.00	Facility		$568.61	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.61 / $586.80 / $708.25	Professional		$568.61	$586.80	$708.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.61 / $561.29 / $932.29	Professional		$416.61	$561.29	$932.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.89 / $745.15 / $859.58	Facility		$542.89	$745.15	$859.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.48 / $745.15 / $1,064.50	Professional		$585.48	$745.15	$1,064.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.05 / $653.80 / $653.80	Facility		$587.05	$653.80	$653.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $790.65 / $1,261.14	Professional		$562.34	$790.65	$1,261.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.52 / $816.46 / $1,138.44	Professional		$561.52	$816.46	$1,138.44