Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.93 / $988.00 / $3,740.00	Facility		$668.93	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $771.93 / $1,015.86	Professional		$668.93	$771.93	$1,015.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.21 / $1,036.13 / $11,253.00	Facility		$343.21	$1,036.13	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.74 / $859.72 / $1,255.81	Professional		$700.74	$859.72	$1,255.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $706.29 / $1,029.32 / $1,187.41	Facility		$706.29	$1,029.32	$1,187.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $808.75 / $995.55 / $1,470.46	Professional		$808.75	$995.55	$1,470.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $903.07 / $1,000.30	Facility		$903.07	$903.07	$1,000.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.23 / $1,172.57 / $1,714.65	Professional		$829.23	$1,172.57	$1,714.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $955.80	Professional		$32.34	$32.34	$955.80
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $19,085.00	Facility		$973.00	$4,639.00	$19,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.96 / $1,064.45 / $1,669.58	Professional		$784.96	$1,064.45	$1,669.58