Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.30 / $1,024.46 / $8,229.00	Facility		$667.30	$1,024.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.30 / $776.61 / $1,024.46	Professional		$667.30	$776.61	$1,024.46
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 $633.29 / $765.66 / $1,155.65	Professional		$633.29	$765.66	$1,155.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.63 / $1,036.34 / $1,195.50	Facility		$720.63	$1,036.34	$1,195.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.28 / $1,036.34 / $1,480.50	Professional		$814.28	$1,036.34	$1,480.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.62 / $910.62 / $1,008.77	Facility		$910.62	$910.62	$1,008.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.99 / $1,070.24 / $1,608.43	Professional		$773.99	$1,070.24	$1,608.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $962.33	Professional		$32.34	$32.34	$962.33
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.08 / $998.69 / $1,496.40	Professional		$699.08	$998.69	$1,496.40