Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.81 / $900.41 / $8,229.00	Facility		$713.81	$900.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.81 / $821.13 / $1,053.29	Professional		$713.81	$821.13	$1,053.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.99 / $667.77 / $1,052.43	Professional		$560.99	$667.77	$1,052.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $696.18 / $949.47 / $1,095.27	Facility		$696.18	$949.47	$1,095.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.19 / $949.47 / $1,356.38	Professional		$678.19	$949.47	$1,356.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.82 / $835.82 / $858.85	Facility		$835.82	$835.82	$858.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.37 / $1,048.31 / $1,772.75	Professional		$760.37	$1,048.31	$1,772.75
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 $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 $734.73 / $1,102.43 / $1,541.86	Professional		$734.73	$1,102.43	$1,541.86