Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.19 / $860.00 / $5,320.00	Facility		$697.19	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.01 / $885.02 / $1,289.14	Professional		$718.01	$885.02	$1,289.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.93 / $795.96 / $1,121.41	Professional		$663.93	$795.96	$1,121.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.53 / $960.15 / $1,120.95	Facility		$788.53	$960.15	$1,120.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $703.11 / $1,090.03 / $1,841.18	Professional		$703.11	$1,090.03	$1,841.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $1,422.45 / $1,587.00	Facility		$612.50	$1,422.45	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.33 / $993.93 / $1,707.28	Professional		$762.33	$993.93	$1,707.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,196.77	Professional		$32.34	$32.34	$1,196.77
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 $795.32 / $1,001.89 / $1,624.56	Professional		$795.32	$1,001.89	$1,624.56