Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.99 / $884.51 / $8,229.00	Facility		$631.99	$884.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.99 / $730.41 / $884.51	Professional		$631.99	$730.41	$884.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.02 / $769.02 / $1,109.80	Professional		$616.02	$769.02	$1,109.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.60 / $973.81 / $1,123.35	Facility		$681.60	$973.81	$1,123.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $695.58 / $968.76 / $1,391.16	Professional		$695.58	$968.76	$1,391.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $870.96	Facility		$855.48	$855.48	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.09 / $1,029.10 / $1,535.61	Professional		$770.09	$1,029.10	$1,535.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $904.25	Professional		$32.34	$32.34	$904.25
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 $702.15 / $1,013.42 / $1,524.29	Professional		$702.15	$1,013.42	$1,524.29