Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.31 / $849.62 / $8,229.00	Facility		$690.31	$849.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.31 / $749.63 / $1,221.83	Professional		$690.31	$749.63	$1,221.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.82 / $748.66 / $1,101.90	Professional		$617.82	$748.66	$1,101.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.63 / $908.22 / $1,047.70	Facility		$662.63	$908.22	$1,047.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $746.04 / $908.22 / $1,297.46	Professional		$746.04	$908.22	$1,297.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.27 / $796.25 / $796.25	Facility		$773.27	$796.25	$796.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.71 / $993.17 / $1,494.87	Professional		$711.71	$993.17	$1,494.87
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.30 / $948.06 / $1,438.41	Professional		$666.30	$948.06	$1,438.41