Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $849.33 / $8,229.00	Facility		$637.00	$849.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.53 / $849.33 / $939.36	Professional		$757.53	$849.33	$939.36
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 $527.00 / $620.00 / $829.78	Professional		$527.00	$620.00	$829.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.06 / $1,125.08 / $1,434.48	Facility		$850.06	$1,125.08	$1,434.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.97 / $1,166.75 / $1,375.09	Professional		$757.97	$1,166.75	$1,375.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.11 / $1,025.80 / $1,829.00	Facility		$661.11	$1,025.80	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.82 / $931.25 / $1,887.88	Professional		$758.82	$931.25	$1,887.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $605.97	Professional		$45.00	$45.00	$605.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,194.00 / $8,174.00	Facility		$1,000.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.58 / $949.27 / $1,499.62	Professional		$747.58	$949.27	$1,499.62