Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.37 / $896.00 / $10,152.00	Facility		$528.37	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.37 / $558.75 / $577.39	Professional		$528.37	$558.75	$577.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.45 / $513.13 / $755.38	Professional		$423.45	$513.13	$755.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.89 / $721.69 / $832.52	Facility		$530.89	$721.69	$832.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $569.77 / $721.69 / $1,159.84	Professional		$569.77	$721.69	$1,159.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.46 / $632.04 / $632.04	Facility		$470.46	$632.04	$632.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.70 / $704.06 / $1,072.24	Professional		$526.70	$704.06	$1,072.24
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 $481.07 / $649.79 / $1,070.45	Professional		$481.07	$649.79	$1,070.45