Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.14 / $692.38 / $8,229.00	Facility		$575.14	$692.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.14 / $594.80 / $707.86	Professional		$575.14	$594.80	$707.86
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 $509.83 / $622.41 / $876.00	Professional		$509.83	$622.41	$876.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.34 / $756.77 / $872.99	Facility		$552.34	$756.77	$872.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $756.77 / $1,081.09	Professional		$613.16	$756.77	$1,081.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.99 / $663.35 / $663.35	Facility		$582.99	$663.35	$663.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $820.50 / $1,249.71	Professional		$563.79	$820.50	$1,249.71
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.28 / $782.45 / $1,134.61	Professional		$543.28	$782.45	$1,134.61