Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.04 / $853.88 / $9,311.00	Facility		$646.04	$853.88	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $819.94 / $1,047.25	Professional		$646.04	$819.94	$1,047.25
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 $526.02 / $704.92 / $1,078.35	Professional		$526.02	$704.92	$1,078.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.60 / $865.54 / $998.45	Facility		$630.60	$865.54	$998.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.33 / $892.69 / $1,391.04	Professional		$604.33	$892.69	$1,391.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.56 / $1,137.56 / $1,137.56	Facility		$1,137.56	$1,137.56	$1,137.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.98 / $927.79 / $1,518.12	Professional		$665.98	$927.79	$1,518.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $853.88	Professional		$32.34	$32.34	$853.88
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.54 / $1,009.75 / $1,628.97	Professional		$731.54	$1,009.75	$1,628.97