Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.14 / $787.00 / $9,311.00	Facility		$504.14	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.14 / $526.49 / $649.16	Professional		$504.14	$526.49	$649.16
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 $467.91 / $577.65 / $796.70	Professional		$467.91	$577.65	$796.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.93 / $690.34 / $796.37	Facility		$503.93	$690.34	$796.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $542.41 / $690.34 / $986.20	Professional		$542.41	$690.34	$986.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.48 / $605.82 / $605.82	Facility		$578.48	$605.82	$605.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.13 / $715.07 / $1,146.16	Professional		$515.13	$715.07	$1,146.16
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 $739.00 / $3,853.00 / $8,979.00	Facility		$739.00	$3,853.00	$8,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $709.53 / $1,036.29	Professional		$484.42	$709.53	$1,036.29