Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.32 / $787.00 / $5,320.00	Facility		$550.32	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.32 / $622.24 / $744.73	Professional		$550.32	$622.24	$744.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.00 / $601.79 / $868.40	Professional		$471.00	$601.79	$868.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $594.55 / $876.75 / $1,011.39	Facility		$594.55	$876.75	$1,011.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $848.82 / $1,252.50	Professional		$688.88	$848.82	$1,252.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.71 / $781.03 / $781.03	Facility		$756.71	$781.03	$781.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $834.59 / $1,282.30	Professional		$634.54	$834.59	$1,282.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $814.13	Professional		$32.34	$32.34	$814.13
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 $605.69 / $833.27 / $1,146.08	Professional		$605.69	$833.27	$1,146.08