Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.47 / $866.09 / $8,229.00	Facility		$680.47	$866.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.47 / $794.53 / $1,028.75	Professional		$680.47	$794.53	$1,028.75
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 $622.92 / $755.07 / $1,051.27	Professional		$622.92	$755.07	$1,051.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $739.80 / $1,059.52 / $1,222.23	Facility		$739.80	$1,059.52	$1,222.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $739.77 / $1,048.08 / $1,513.60	Professional		$739.77	$1,048.08	$1,513.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $936.28 / $936.28	Facility		$852.82	$936.28	$936.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.93 / $1,074.43 / $1,513.97	Professional		$741.93	$1,074.43	$1,513.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $983.84	Professional		$32.34	$32.34	$983.84
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.90 / $969.51 / $1,511.02	Professional		$715.90	$969.51	$1,511.02