Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.56 / $787.00 / $8,229.00	Facility		$706.56	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.56 / $737.88 / $899.86	Professional		$706.56	$737.88	$899.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.27 / $791.62 / $1,087.59	Professional		$653.27	$791.62	$1,087.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.03 / $965.29 / $1,113.53	Facility		$704.03	$965.29	$1,113.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.91 / $965.29 / $1,551.35	Professional		$792.91	$965.29	$1,551.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.69 / $846.92 / $846.92	Facility		$757.69	$846.92	$846.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.49 / $1,039.89 / $1,596.22	Professional		$719.49	$1,039.89	$1,596.22
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 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.46 / $975.71 / $1,455.42	Professional		$620.46	$975.71	$1,455.42