Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.21 / $966.20 / $5,320.00	Facility		$638.21	$966.20	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.21 / $744.75 / $966.20	Professional		$638.21	$744.75	$966.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.55 / $736.67 / $1,078.72	Professional		$589.55	$736.67	$1,078.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.73 / $993.03 / $1,145.53	Facility		$691.73	$993.03	$1,145.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.35 / $993.03 / $1,418.62	Professional		$693.35	$993.03	$1,418.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $874.54 / $951.40	Facility		$874.54	$874.54	$951.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.72 / $1,031.15 / $1,559.15	Professional		$737.72	$1,031.15	$1,559.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $922.10	Professional		$32.34	$32.34	$922.10
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 $688.55 / $1,012.98 / $1,479.30	Professional		$688.55	$1,012.98	$1,479.30