Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.35 / $921.47 / $8,229.00	Facility		$667.35	$921.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.35 / $778.51 / $930.60	Professional		$667.35	$778.51	$930.60
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 $717.23 / $857.65 / $1,230.49	Professional		$717.23	$857.65	$1,230.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.41 / $1,046.16 / $1,206.82	Facility		$738.41	$1,046.16	$1,206.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $821.99 / $1,046.16 / $1,494.52	Professional		$821.99	$1,046.16	$1,494.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.35 / $909.50 / $909.50	Facility		$907.35	$909.50	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.49 / $1,191.32 / $1,781.79	Professional		$841.49	$1,191.32	$1,781.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $971.44	Professional		$32.34	$32.34	$971.44
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 $806.16 / $1,146.17 / $1,780.72	Professional		$806.16	$1,146.17	$1,780.72