Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.50 / $860.00 / $9,311.00	Facility		$551.50	$860.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $561.80 / $895.48	Professional		$551.50	$561.80	$895.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.08 / $586.60 / $814.70	Professional		$484.08	$586.60	$814.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.46 / $769.26 / $887.40	Facility		$560.46	$769.26	$887.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $769.26 / $1,098.94	Professional		$604.41	$769.26	$1,098.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.50 / $676.80 / $676.80	Facility		$641.50	$676.80	$676.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.71 / $793.50 / $1,232.81	Professional		$577.71	$793.50	$1,232.81
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.23 / $725.01 / $1,127.97	Professional		$495.23	$725.01	$1,127.97