Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.34 / $805.05 / $2,747.00	Facility		$659.34	$805.05	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.34 / $761.30 / $831.67	Professional		$659.34	$761.30	$831.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.07 / $717.32 / $1,025.21	Professional		$607.07	$717.32	$1,025.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.04 / $1,024.59 / $1,181.95	Facility		$712.04	$1,024.59	$1,181.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.39 / $1,024.59 / $1,463.72	Professional		$715.39	$1,024.59	$1,463.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.64 / $899.46 / $899.46	Facility		$749.64	$899.46	$899.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.07 / $1,053.75 / $1,485.09	Professional		$726.07	$1,053.75	$1,485.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $951.42	Professional		$32.34	$32.34	$951.42
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 $702.95 / $1,004.22 / $1,483.78	Professional		$702.95	$1,004.22	$1,483.78