Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $787.00 / $8,229.00	Facility		$637.00	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $714.04 / $801.49	Professional		$645.32	$714.04	$801.49
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 $575.02 / $676.50 / $1,005.66	Professional		$575.02	$676.50	$1,005.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $746.76 / $909.29 / $1,260.17	Facility		$746.76	$909.29	$1,260.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.65 / $1,024.97 / $1,464.24	Professional		$715.65	$1,024.97	$1,464.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.89 / $901.69 / $1,829.00	Facility		$568.89	$901.69	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.62 / $836.66 / $1,402.58	Professional		$656.62	$836.66	$1,402.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $951.76	Professional		$32.34	$32.34	$951.76
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 $610.98 / $782.06 / $1,233.93	Professional		$610.98	$782.06	$1,233.93