Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.01 / $896.00 / $10,152.00	Facility		$684.01	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.01 / $791.00 / $947.46	Professional		$684.01	$791.00	$947.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,653.00 / $4,800.00 / $8,934.00	Facility		$2,653.00	$4,800.00	$8,934.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.17 / $606.11 / $982.19	Professional		$506.17	$606.11	$982.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.45 / $974.96 / $1,114.24	Facility		$675.45	$974.96	$1,114.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $696.40 / $974.96 / $1,392.80	Professional		$696.40	$974.96	$1,392.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.51 / $861.80 / $5,217.00	Facility		$593.51	$861.80	$5,217.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.46 / $821.47 / $1,513.63	Professional		$626.46	$821.47	$1,513.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $567.11 / $765.59	Professional		$32.34	$567.11	$765.59
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.55 / $780.90 / $1,374.38	Professional		$612.55	$780.90	$1,374.38