Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $976.63 / $8,229.00	Facility		$637.00	$976.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.43 / $968.76 / $1,151.56	Professional		$859.43	$968.76	$1,151.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.04 / $1,004.14 / $1,124.60	Professional		$837.04	$1,004.14	$1,124.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $964.54 / $1,174.46 / $1,371.15	Facility		$964.54	$1,174.46	$1,371.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,037.49 / $1,323.87 / $1,891.24	Professional		$1,037.49	$1,323.87	$1,891.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.46 / $1,161.46 / $1,161.46	Facility		$1,161.46	$1,161.46	$1,161.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.74 / $1,224.79 / $2,017.59	Professional		$887.74	$1,224.79	$2,017.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,229.31	Professional		$32.34	$32.34	$1,229.31
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.31 / $1,200.46 / $1,780.24	Professional		$877.31	$1,200.46	$1,780.24