Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.36 / $984.25 / $2,747.00	Facility		$699.36	$984.25	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.36 / $809.20 / $984.25	Professional		$699.36	$809.20	$984.25
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 $640.51 / $772.33 / $1,128.65	Professional		$640.51	$772.33	$1,128.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $749.37 / $1,065.85 / $1,229.55	Facility		$749.37	$1,065.85	$1,229.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $837.46 / $1,065.85 / $1,522.66	Professional		$837.46	$1,065.85	$1,522.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $969.17	Facility		$954.42	$954.42	$969.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.93 / $1,098.80 / $1,631.42	Professional		$784.93	$1,098.80	$1,631.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $989.73	Professional		$32.34	$32.34	$989.73
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 $720.10 / $1,055.30 / $1,500.84	Professional		$720.10	$1,055.30	$1,500.84