Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.67 / $787.00 / $9,311.00	Facility		$587.67	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.67 / $607.87 / $723.30	Professional		$587.67	$607.87	$723.30
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 $525.13 / $636.33 / $886.10	Professional		$525.13	$636.33	$886.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $773.36 / $892.13	Facility		$564.41	$773.36	$892.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $626.47 / $773.36 / $1,104.80	Professional		$626.47	$773.36	$1,104.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.76 / $677.62 / $677.62	Facility		$605.76	$677.62	$677.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.84 / $841.10 / $1,271.05	Professional		$575.84	$841.10	$1,271.05
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 / $3,086.00 / $6,897.94	Facility		$599.00	$3,086.00	$6,897.94
United Facility/Professional Professional Modifier Low / Median / High Price $537.22 / $805.83 / $1,160.00	Professional		$537.22	$805.83	$1,160.00