Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.97 / $827.71 / $9,311.00	Facility		$772.97	$827.71	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $772.97 / $896.95	Professional		$729.07	$772.97	$896.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.30 / $791.66 / $1,091.13	Professional		$653.30	$791.66	$1,091.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $754.42 / $1,028.26 / $1,186.17	Facility		$754.42	$1,028.26	$1,186.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $717.94 / $1,028.26 / $1,468.94	Professional		$717.94	$1,028.26	$1,468.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.06 / $918.62 / $918.62	Facility		$836.06	$918.62	$918.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.89 / $1,028.79 / $1,648.45	Professional		$780.89	$1,028.79	$1,648.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $702.80 / $1,012.49 / $1,587.05	Professional		$702.80	$1,012.49	$1,587.05