Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.73 / $896.00 / $8,229.00	Facility		$627.73	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.73 / $723.14 / $860.09	Professional		$627.73	$723.14	$860.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.13 / $684.61 / $1,008.49	Professional		$575.13	$684.61	$1,008.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $679.33 / $960.43 / $1,107.93	Facility		$679.33	$960.43	$1,107.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $686.02 / $960.43 / $1,372.04	Professional		$686.02	$960.43	$1,372.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.21 / $853.33 / $853.33	Facility		$674.21	$853.33	$853.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.41 / $1,023.46 / $1,529.31	Professional		$696.41	$1,023.46	$1,529.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $891.83	Professional		$32.34	$32.34	$891.83
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.67 / $996.41 / $1,486.87	Professional		$705.67	$996.41	$1,486.87