Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.26 / $960.10 / $8,229.00	Facility		$785.26	$960.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.26 / $811.23 / $966.47	Professional		$785.26	$811.23	$966.47
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 $713.25 / $864.29 / $1,164.90	Professional		$713.25	$864.29	$1,164.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $752.30 / $1,031.58 / $1,190.01	Facility		$752.30	$1,031.58	$1,190.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $847.38 / $1,031.58 / $1,473.70	Professional		$847.38	$1,031.58	$1,473.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $808.41 / $904.00 / $904.00	Facility		$808.41	$904.00	$904.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.83 / $1,116.59 / $1,711.99	Professional		$769.83	$1,116.59	$1,711.99
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 / $3,853.00 / $8,582.00	Facility		$739.00	$3,853.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.29 / $1,081.68 / $1,596.39	Professional		$771.29	$1,081.68	$1,596.39