Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.53 / $904.67 / $8,229.00	Facility		$745.53	$904.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.53 / $847.20 / $905.42	Professional		$745.53	$847.20	$905.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.46 / $774.67 / $1,063.84	Professional		$658.46	$774.67	$1,063.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $838.88 / $1,021.46 / $1,192.52	Facility		$838.88	$1,021.46	$1,192.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.81 / $1,151.40 / $1,644.86	Professional		$904.81	$1,151.40	$1,644.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.33 / $1,014.77 / $2,109.00	Facility		$825.33	$1,014.77	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.97 / $961.01 / $1,626.50	Professional		$741.97	$961.01	$1,626.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,069.16	Professional		$32.34	$32.34	$1,069.16
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,945.00 / $5,995.00	Facility		$800.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.82 / $875.72 / $1,464.72	Professional		$700.82	$875.72	$1,464.72