Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.47 / $869.66 / $8,229.00	Facility		$584.47	$869.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.47 / $649.91 / $695.80	Professional		$584.47	$649.91	$695.80
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 $438.04 / $530.80 / $673.28	Professional		$438.04	$530.80	$673.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.07 / $942.59 / $1,112.33	Facility		$689.07	$942.59	$1,112.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.27 / $942.59 / $1,346.56	Professional		$774.27	$942.59	$1,346.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.31 / $828.31 / $828.31	Facility		$828.31	$828.31	$828.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.51 / $941.17 / $1,747.92	Professional		$704.51	$941.17	$1,747.92
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 $668.44 / $958.84 / $1,332.28	Professional		$668.44	$958.84	$1,332.28