Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.15 / $785.02 / $8,229.00	Facility		$625.15	$785.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $686.98 / $785.02	Professional		$622.14	$686.98	$785.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.81 / $582.63 / $979.49	Professional		$480.81	$582.63	$979.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.85 / $923.69 / $1,065.54	Facility		$675.85	$923.69	$1,065.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $725.76 / $923.69 / $1,319.56	Professional		$725.76	$923.69	$1,319.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.12 / $816.90 / $816.90	Facility		$729.12	$816.90	$816.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.99 / $919.65 / $1,505.90	Professional		$645.99	$919.65	$1,505.90
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 $632.54 / $953.29 / $1,387.88	Professional		$632.54	$953.29	$1,387.88