Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $902.92 / $8,229.00	Facility		$637.00	$902.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.28 / $879.86 / $972.01	Professional		$774.28	$879.86	$972.01
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 $662.15 / $779.00 / $1,231.14	Professional		$662.15	$779.00	$1,231.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.12 / $1,056.22 / $1,199.77	Facility		$874.12	$1,056.22	$1,199.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $779.42 / $1,199.77 / $1,713.96	Professional		$779.42	$1,199.77	$1,713.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.82 / $1,052.33 / $1,829.00	Facility		$702.82	$1,052.33	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.45 / $998.39 / $1,594.28	Professional		$785.45	$998.39	$1,594.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,114.07	Professional		$32.34	$32.34	$1,114.07
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 $776.82 / $933.65 / $1,543.60	Professional		$776.82	$933.65	$1,543.60