Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.69 / $902.09 / $2,747.00	Facility		$626.69	$902.09	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.69 / $729.71 / $902.09	Professional		$626.69	$729.71	$902.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.82 / $730.02 / $1,099.86	Professional		$588.82	$730.02	$1,099.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $973.92 / $1,123.49	Facility		$677.02	$973.92	$1,123.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $680.01 / $973.92 / $1,391.32	Professional		$680.01	$973.92	$1,391.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $855.57 / $888.28	Facility		$855.57	$855.57	$888.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.07 / $1,009.50 / $1,474.37	Professional		$730.07	$1,009.50	$1,474.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $904.36	Professional		$32.34	$32.34	$904.36
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 $664.93 / $966.15 / $1,414.47	Professional		$664.93	$966.15	$1,414.47