Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.21 / $917.24 / $8,229.00	Facility		$760.21	$917.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.21 / $785.69 / $935.65	Professional		$760.21	$785.69	$935.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.36 / $829.29 / $1,119.40	Professional		$684.36	$829.29	$1,119.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $727.44 / $998.45 / $1,151.78	Facility		$727.44	$998.45	$1,151.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $697.13 / $998.45 / $1,426.36	Professional		$697.13	$998.45	$1,426.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.33 / $875.50 / $875.50	Facility		$772.33	$875.50	$875.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.86 / $1,077.96 / $1,686.16	Professional		$744.86	$1,077.96	$1,686.16
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 $700.12 / $1,037.69 / $1,506.68	Professional		$700.12	$1,037.69	$1,506.68