Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.67 / $846.59 / $8,229.00	Facility		$704.67	$846.59	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.67 / $728.67 / $867.28	Professional		$704.67	$728.67	$867.28
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 $630.26 / $763.73 / $1,023.10	Professional		$630.26	$763.73	$1,023.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.15 / $925.57 / $1,067.71	Facility		$675.15	$925.57	$1,067.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.23 / $925.57 / $1,322.24	Professional		$727.23	$925.57	$1,322.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.83 / $811.54 / $811.54	Facility		$712.83	$811.54	$811.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.13 / $971.25 / $1,532.72	Professional		$689.13	$971.25	$1,532.72
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 $686.15 / $1,003.17 / $1,392.77	Professional		$686.15	$1,003.17	$1,392.77