Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.71 / $913.70 / $2,747.00	Facility		$615.71	$913.70	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.71 / $717.31 / $913.70	Professional		$615.71	$717.31	$913.70
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 $586.95 / $713.62 / $1,065.22	Professional		$586.95	$713.62	$1,065.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.09 / $956.75 / $1,103.67	Facility		$665.09	$956.75	$1,103.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.09 / $956.75 / $1,366.78	Professional		$752.09	$956.75	$1,366.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.32 / $840.32 / $899.71	Facility		$840.32	$840.32	$899.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.58 / $1,010.98 / $1,482.64	Professional		$716.58	$1,010.98	$1,482.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $888.41	Professional		$32.34	$32.34	$888.41
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.47 / $915.75 / $1,385.24	Professional		$646.47	$915.75	$1,385.24