Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.47 / $905.89 / $2,747.00	Facility		$736.47	$905.89	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.47 / $872.53 / $1,078.36	Professional		$736.47	$872.53	$1,078.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.49 / $688.00 / $1,106.81	Professional		$549.49	$688.00	$1,106.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $782.27 / $1,152.96 / $1,330.02	Facility		$782.27	$1,152.96	$1,330.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.89 / $1,111.78 / $1,647.08	Professional		$905.89	$1,111.78	$1,647.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.93 / $1,021.10 / $1,021.10	Facility		$765.93	$1,021.10	$1,021.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.03 / $1,076.79 / $1,634.81	Professional		$669.03	$1,076.79	$1,634.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,070.59	Professional		$32.34	$32.34	$1,070.59
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.96 / $969.23 / $1,606.27	Professional		$704.96	$969.23	$1,606.27