Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.21 / $985.07 / $8,229.00	Facility		$643.21	$985.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.21 / $748.62 / $1,115.44	Professional		$643.21	$748.62	$1,115.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.87 / $763.98 / $1,133.01	Professional		$640.87	$763.98	$1,133.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $696.91 / $1,000.06 / $1,153.64	Facility		$696.91	$1,000.06	$1,153.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $714.33 / $1,000.06 / $1,428.66	Professional		$714.33	$1,000.06	$1,428.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.89 / $877.89 / $969.98	Facility		$877.89	$877.89	$969.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.73 / $1,054.15 / $1,598.67	Professional		$753.73	$1,054.15	$1,598.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $928.63	Professional		$32.34	$32.34	$928.63
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 $700.39 / $1,019.02 / $1,559.81	Professional		$700.39	$1,019.02	$1,559.81