Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $906.64 / $4,846.45	Facility		$637.00	$906.64	$4,846.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.97 / $871.56 / $971.46	Professional		$766.97	$871.56	$971.46
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 $712.44 / $854.68 / $1,211.97	Professional		$712.44	$854.68	$1,211.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $876.98 / $1,152.04 / $1,468.85	Facility		$876.98	$1,152.04	$1,468.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $834.16 / $1,194.70 / $1,706.72	Professional		$834.16	$1,194.70	$1,706.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.72 / $1,048.25 / $1,829.00	Facility		$705.72	$1,048.25	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.91 / $1,004.58 / $1,690.69	Professional		$776.91	$1,004.58	$1,690.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,109.36	Professional		$32.34	$32.34	$1,109.36
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,945.00 / $5,995.00	Facility		$599.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.12 / $958.90 / $1,520.22	Professional		$767.12	$958.90	$1,520.22