Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.91 / $1,069.53 / $8,229.00	Facility		$656.91	$1,069.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.91 / $765.58 / $1,069.53	Professional		$656.91	$765.58	$1,069.53
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 $603.65 / $751.12 / $1,132.83	Professional		$603.65	$751.12	$1,132.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.63 / $1,020.04 / $1,176.69	Facility		$709.63	$1,020.04	$1,176.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $728.60 / $1,020.04 / $1,457.20	Professional		$728.60	$1,020.04	$1,457.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.48 / $896.48 / $1,053.15	Facility		$896.48	$896.48	$1,053.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.08 / $1,054.02 / $1,621.45	Professional		$763.08	$1,054.02	$1,621.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $947.18	Professional		$32.34	$32.34	$947.18
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 $718.93 / $972.12 / $1,481.23	Professional		$718.93	$972.12	$1,481.23