Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.02 / $896.00 / $10,152.00	Facility		$513.02	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.16 / $563.75 / $611.16	Professional		$511.16	$563.75	$611.16
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 $480.16 / $581.85 / $809.90	Professional		$480.16	$581.85	$809.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.30 / $758.45 / $874.93	Facility		$555.30	$758.45	$874.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.75 / $758.45 / $1,083.50	Professional		$541.75	$758.45	$1,083.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.09 / $670.78 / $670.78	Facility		$580.09	$670.78	$670.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.05 / $769.69 / $1,214.52	Professional		$579.05	$769.69	$1,214.52
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.78 / $788.42 / $1,146.47	Professional		$515.78	$788.42	$1,146.47