Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $954.67 / $8,229.00	Facility		$637.00	$954.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.06 / $884.16 / $997.97	Professional		$778.06	$884.16	$997.97
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 $728.25 / $862.57 / $1,158.00	Professional		$728.25	$862.57	$1,158.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $885.24 / $1,077.91 / $1,258.43	Facility		$885.24	$1,077.91	$1,258.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $789.34 / $1,215.03 / $1,735.76	Professional		$789.34	$1,215.03	$1,735.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $951.91 / $1,069.83 / $1,829.00	Facility		$951.91	$1,069.83	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.20 / $1,006.76 / $1,672.64	Professional		$780.20	$1,006.76	$1,672.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,128.24	Professional		$32.34	$32.34	$1,128.24
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 $755.83 / $953.85 / $1,601.86	Professional		$755.83	$953.85	$1,601.86