Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.30 / $846.37 / $2,747.00	Facility		$601.30	$846.37	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.30 / $700.41 / $846.37	Professional		$601.30	$700.41	$846.37
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 $565.59 / $699.43 / $1,002.44	Professional		$565.59	$699.43	$1,002.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $649.52 / $933.91 / $1,077.33	Facility		$649.52	$933.91	$1,077.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $933.91 / $1,334.16	Professional		$652.07	$933.91	$1,334.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $833.40	Facility		$820.59	$820.59	$833.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $965.52 / $1,382.03	Professional		$700.00	$965.52	$1,382.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $867.20	Professional		$32.34	$32.34	$867.20
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.59 / $909.73 / $1,457.76	Professional		$666.59	$909.73	$1,457.76