Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.97 / $915.69 / $8,229.00	Facility		$782.97	$915.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.97 / $809.12 / $963.66	Professional		$782.97	$809.12	$963.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.03 / $859.18 / $1,174.05	Professional		$709.03	$859.18	$1,174.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.74 / $1,029.45 / $1,187.54	Facility		$750.74	$1,029.45	$1,187.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.32 / $1,029.45 / $1,470.64	Professional		$735.32	$1,029.45	$1,470.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.02 / $902.10 / $902.10	Facility		$771.02	$902.10	$902.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.86 / $1,052.35 / $1,710.34	Professional		$767.86	$1,052.35	$1,710.34
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.27 / $1,088.04 / $1,646.62	Professional		$769.27	$1,088.04	$1,646.62