Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.41 / $1,300.00 / $14,657.00	Facility		$538.41	$1,300.00	$14,657.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $597.05 / $625.29	Professional		$538.41	$597.05	$625.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.01 / $481.09 / $602.45	Professional		$397.01	$481.09	$602.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.30 / $825.40 / $952.15	Facility		$604.30	$825.40	$952.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $670.54 / $825.40 / $1,179.14	Professional		$670.54	$825.40	$1,179.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.08 / $728.08 / $728.08	Facility		$728.08	$728.08	$728.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.53 / $853.01 / $1,588.29	Professional		$621.53	$853.01	$1,588.29
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 $568.16 / $866.34 / $1,208.00	Professional		$568.16	$866.34	$1,208.00