Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.94 / $1,066.75 / $8,229.00	Facility		$688.94	$1,066.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $797.16 / $1,066.75	Professional		$679.20	$797.16	$1,066.75
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 $631.73 / $765.52 / $1,117.64	Professional		$631.73	$765.52	$1,117.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.51 / $1,049.92 / $1,211.16	Facility		$738.51	$1,049.92	$1,211.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $827.27 / $1,049.92 / $1,499.88	Professional		$827.27	$1,049.92	$1,499.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $940.62 / $940.62 / $1,050.41	Facility		$940.62	$940.62	$1,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.21 / $1,082.41 / $1,599.01	Professional		$773.21	$1,082.41	$1,599.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $974.92	Professional		$32.34	$32.34	$974.92
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 $713.51 / $1,029.65 / $1,510.15	Professional		$713.51	$1,029.65	$1,510.15