Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $930.46 / $8,229.00	Facility		$637.00	$930.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.37 / $882.24 / $940.84	Professional		$776.37	$882.24	$940.84
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 $706.85 / $841.72 / $1,172.40	Professional		$706.85	$841.72	$1,172.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.09 / $1,064.33 / $1,283.05	Facility		$874.09	$1,064.33	$1,283.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $837.67 / $1,199.73 / $1,713.90	Professional		$837.67	$1,199.73	$1,713.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.52 / $1,055.32 / $1,829.00	Facility		$887.52	$1,055.32	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.44 / $991.76 / $1,673.93	Professional		$769.44	$991.76	$1,673.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,114.04	Professional		$32.34	$32.34	$1,114.04
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.76 / $951.51 / $1,547.99	Professional		$751.76	$951.51	$1,547.99