Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $860.00 / $8,229.00	Facility		$637.00	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.71 / $800.08 / $1,000.76	Professional		$776.71	$800.08	$1,000.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.78 / $898.87 / $1,295.00	Professional		$741.78	$898.87	$1,295.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $773.88 / $1,061.06 / $1,224.02	Facility		$773.88	$1,061.06	$1,224.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $857.70 / $1,061.06 / $1,515.80	Professional		$857.70	$1,061.06	$1,515.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $917.91 / $930.35 / $930.35	Facility		$917.91	$930.35	$930.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.57 / $1,179.96 / $1,768.44	Professional		$791.57	$1,179.96	$1,768.44
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 $773.78 / $1,116.65 / $1,600.97	Professional		$773.78	$1,116.65	$1,600.97