Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.23 / $921.30 / $2,747.00	Facility		$657.23	$921.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.23 / $765.13 / $921.30	Professional		$657.23	$765.13	$921.30
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 $622.59 / $772.55 / $1,095.52	Professional		$622.59	$772.55	$1,095.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.23 / $1,020.98 / $1,177.77	Facility		$709.23	$1,020.98	$1,177.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $802.20 / $1,020.98 / $1,458.54	Professional		$802.20	$1,020.98	$1,458.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $907.18	Facility		$895.74	$895.74	$907.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.08 / $1,075.28 / $1,505.57	Professional		$744.08	$1,075.28	$1,505.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $948.05	Professional		$32.34	$32.34	$948.05
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.21 / $1,004.58 / $1,599.04	Professional		$703.21	$1,004.58	$1,599.04