Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.05 / $830.00 / $9,311.00	Facility		$653.05	$830.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.05 / $682.26 / $830.00	Professional		$653.05	$682.26	$830.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.41 / $738.48 / $1,002.50	Professional		$609.41	$738.48	$1,002.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $650.62 / $891.90 / $1,028.86	Facility		$650.62	$891.90	$1,028.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $721.17 / $891.90 / $1,274.14	Professional		$721.17	$891.90	$1,274.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.87 / $782.18 / $782.18	Facility		$698.87	$782.18	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.04 / $968.66 / $1,545.22	Professional		$664.04	$968.66	$1,545.22
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 $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 $619.32 / $935.18 / $1,297.25	Professional		$619.32	$935.18	$1,297.25