Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.99 / $860.00 / $2,747.00	Facility		$654.99	$860.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.28 / $797.48 / $1,002.26	Professional		$670.28	$797.48	$1,002.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.59 / $692.63 / $1,049.54	Professional		$571.59	$692.63	$1,049.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $902.24 / $1,053.33	Facility		$740.96	$902.24	$1,053.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.70 / $1,024.28 / $1,678.70	Professional		$660.70	$1,024.28	$1,678.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.54 / $1,336.65 / $1,829.00	Facility		$576.54	$1,336.65	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.64 / $905.82 / $1,451.05	Professional		$688.64	$905.82	$1,451.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,091.16	Professional		$32.34	$32.34	$1,091.16
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.63 / $928.74 / $1,494.46	Professional		$739.63	$928.74	$1,494.46