Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.30 / $946.42 / $5,320.00	Facility		$652.30	$946.42	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.30 / $748.28 / $946.42	Professional		$652.30	$748.28	$946.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $763.04 / $1,129.80	Professional		$632.91	$763.04	$1,129.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.71 / $1,001.60 / $1,155.43	Facility		$708.71	$1,001.60	$1,155.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $699.33 / $1,001.60 / $1,430.86	Professional		$699.33	$1,001.60	$1,430.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.62 / $878.62 / $931.93	Facility		$878.62	$878.62	$931.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.91 / $1,107.01 / $1,546.63	Professional		$816.91	$1,107.01	$1,546.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $930.06	Professional		$32.34	$32.34	$930.06
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 $705.24 / $996.66 / $1,548.61	Professional		$705.24	$996.66	$1,548.61