Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.34 / $908.83 / $2,747.00	Facility		$657.34	$908.83	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.34 / $766.57 / $917.94	Professional		$657.34	$766.57	$917.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.40 / $839.30 / $1,177.32	Professional		$713.40	$839.30	$1,177.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $728.39 / $1,032.08 / $1,190.59	Facility		$728.39	$1,032.08	$1,190.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $737.21 / $1,032.08 / $1,474.42	Professional		$737.21	$1,032.08	$1,474.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.91 / $897.23 / $897.23	Facility		$894.91	$897.23	$897.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.03 / $1,174.14 / $1,740.30	Professional		$830.03	$1,174.14	$1,740.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $958.37	Professional		$32.34	$32.34	$958.37
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 $806.61 / $1,145.39 / $1,708.40	Professional		$806.61	$1,145.39	$1,708.40