Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.69 / $787.00 / $8,229.00	Facility		$564.69	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.69 / $611.91 / $685.42	Professional		$564.69	$611.91	$685.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.34 / $625.21 / $824.35	Professional		$498.34	$625.21	$824.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.79 / $773.65 / $892.47	Facility		$564.79	$773.65	$892.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $635.50 / $773.65 / $1,105.22	Professional		$635.50	$773.65	$1,105.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.13 / $677.87 / $677.87	Facility		$577.13	$677.87	$677.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.38 / $790.71 / $1,271.57	Professional		$576.38	$790.71	$1,271.57
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 $524.33 / $782.90 / $1,226.28	Professional		$524.33	$782.90	$1,226.28