Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.52 / $787.00 / $8,229.00	Facility		$555.52	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.52 / $572.01 / $687.57	Professional		$555.52	$572.01	$687.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.61 / $620.64 / $864.40	Professional		$518.61	$620.64	$864.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.03 / $727.50 / $839.21	Facility		$530.03	$727.50	$839.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.59 / $727.50 / $1,039.28	Professional		$597.59	$727.50	$1,039.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.94 / $637.85 / $637.85	Facility		$578.94	$637.85	$637.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.46 / $806.14 / $1,230.32	Professional		$549.46	$806.14	$1,230.32
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 $489.71 / $768.22 / $1,113.09	Professional		$489.71	$768.22	$1,113.09