Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.78 / $816.13 / $2,747.00	Facility		$647.78	$816.13	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.78 / $759.18 / $1,246.98	Professional		$647.78	$759.18	$1,246.98
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 $594.89 / $727.71 / $1,014.82	Professional		$594.89	$727.71	$1,014.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.78 / $1,009.23 / $1,164.23	Facility		$701.78	$1,009.23	$1,164.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.97 / $1,009.23 / $1,441.76	Professional		$792.97	$1,009.23	$1,441.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.62 / $886.03 / $886.03	Facility		$803.62	$886.03	$886.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.36 / $1,037.70 / $1,460.87	Professional		$738.36	$1,037.70	$1,460.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $937.14	Professional		$32.34	$32.34	$937.14
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 $711.10 / $937.60 / $1,470.82	Professional		$711.10	$937.60	$1,470.82