Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $787.00 / $9,311.00	Facility		$572.67	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.67 / $592.35 / $704.83	Professional		$572.67	$592.35	$704.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.82 / $616.58 / $831.60	Professional		$508.82	$616.58	$831.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.99 / $753.61 / $869.35	Facility		$549.99	$753.61	$869.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $753.61 / $1,076.58	Professional		$526.17	$753.61	$1,076.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.52 / $660.54 / $660.54	Facility		$566.52	$660.54	$660.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.33 / $794.95 / $1,242.98	Professional		$561.33	$794.95	$1,242.98
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.54 / $760.75 / $1,129.65	Professional		$520.54	$760.75	$1,129.65