Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $988.00 / $3,740.00	Facility		$602.46	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.46 / $702.06 / $994.53	Professional		$602.46	$702.06	$994.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $690.81 / $1,043.58	Professional		$544.16	$690.81	$1,043.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $650.78 / $935.66 / $1,079.34	Facility		$650.78	$935.66	$1,079.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.16 / $935.66 / $1,336.66	Professional		$735.16	$935.66	$1,336.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $822.09 / $979.30	Facility		$822.09	$822.09	$979.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.75 / $966.25 / $1,493.83	Professional		$701.75	$966.25	$1,493.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $868.83	Professional		$32.34	$32.34	$868.83
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 $630.74 / $918.32 / $1,360.34	Professional		$630.74	$918.32	$1,360.34