Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.26 / $787.00 / $8,229.00	Facility		$624.26	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.26 / $645.51 / $768.32	Professional		$624.26	$645.51	$768.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.38 / $687.54 / $917.80	Professional		$567.38	$687.54	$917.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $821.79 / $947.99	Facility		$599.66	$821.79	$947.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.65 / $821.79 / $1,173.98	Professional		$641.65	$821.79	$1,173.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.23 / $719.62 / $719.62	Facility		$635.23	$719.62	$719.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $876.21 / $1,357.97	Professional		$611.29	$876.21	$1,357.97
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 / $7,000.00	Facility		$599.00	$3,086.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.03 / $870.66 / $1,232.65	Professional		$610.03	$870.66	$1,232.65