Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.31 / $929.24 / $8,229.00	Facility		$678.31	$929.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $767.22 / $955.47	Professional		$584.89	$767.22	$955.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,261.00 / $11,262.00	Facility		$2,288.00	$4,261.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.42 / $777.34 / $1,132.00	Professional		$615.42	$777.34	$1,132.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.05 / $739.83 / $845.52	Facility		$528.05	$739.83	$845.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.45 / $739.83 / $1,056.90	Professional		$528.45	$739.83	$1,056.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.21 / $1,022.21 / $1,058.71	Professional		$1,022.21	$1,022.21	$1,058.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $560.32	Professional		$32.34	$32.34	$560.32
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 $645.92 / $834.14 / $1,176.19	Professional		$645.92	$834.14	$1,176.19