Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.49 / $793.39 / $5,320.00	Facility		$550.49	$793.39	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.89 / $744.21 / $1,093.63	Professional		$622.89	$744.21	$1,093.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $8,114.00	Facility		$1,258.00	$2,316.00	$8,114.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.15 / $699.37 / $975.81	Professional		$577.15	$699.37	$975.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $609.32 / $863.03 / $995.56	Facility		$609.32	$863.03	$995.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.85 / $863.03 / $1,232.90	Professional		$674.85	$863.03	$1,232.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.18 / $1,134.27 / $1,134.27	Facility		$765.18	$1,134.27	$1,134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.79 / $1,048.00 / $1,632.69	Professional		$722.79	$1,048.00	$1,632.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $165.63 / $802.91	Professional		$32.34	$165.63	$802.91
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.84 / $1,121.57 / $1,669.12	Professional		$810.84	$1,121.57	$1,669.12