Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.24 / $983.41 / $2,747.00	Facility		$653.24	$983.41	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $760.23 / $983.41	Professional		$653.24	$760.23	$983.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.07 / $752.42 / $1,103.17	Professional		$597.07	$752.42	$1,103.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.69 / $1,014.51 / $1,170.31	Facility		$704.69	$1,014.51	$1,170.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $708.35 / $1,014.51 / $1,449.30	Professional		$708.35	$1,014.51	$1,449.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $968.35	Facility		$890.16	$890.16	$968.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.43 / $1,051.08 / $1,547.53	Professional		$762.43	$1,051.08	$1,547.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $942.05	Professional		$32.34	$32.34	$942.05
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 $690.72 / $962.52 / $1,472.95	Professional		$690.72	$962.52	$1,472.95