Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.39 / $979.73 / $8,229.00	Facility		$667.39	$979.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.39 / $776.89 / $979.73	Professional		$667.39	$776.89	$979.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $727.20 / $1,098.70	Professional		$571.36	$727.20	$1,098.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.08 / $1,036.50 / $1,195.69	Facility		$720.08	$1,036.50	$1,195.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.40 / $1,036.50 / $1,480.72	Professional		$814.40	$1,036.50	$1,480.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $964.72	Facility		$909.50	$909.50	$964.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.49 / $1,026.93 / $1,585.98	Professional		$755.49	$1,026.93	$1,585.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $962.47	Professional		$32.34	$32.34	$962.47
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $31,792.00	Facility		$842.00	$4,539.00	$31,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.75 / $956.23 / $1,499.08	Professional		$705.75	$956.23	$1,499.08