Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.91 / $853.18 / $9,311.00	Facility		$675.91	$853.18	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.91 / $706.06 / $853.18	Professional		$675.91	$706.06	$853.18
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 $610.34 / $739.59 / $1,051.51	Professional		$610.34	$739.59	$1,051.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.26 / $924.14 / $1,066.07	Facility		$674.26	$924.14	$1,066.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $924.14 / $1,320.20	Professional		$759.12	$924.14	$1,320.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.38 / $810.64 / $810.64	Facility		$718.38	$810.64	$810.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.51 / $974.61 / $1,526.30	Professional		$688.51	$974.61	$1,526.30
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 $655.84 / $996.73 / $1,342.78	Professional		$655.84	$996.73	$1,342.78