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 $675.78 / $705.99 / $870.07	Professional		$675.78	$705.99	$870.07
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 $610.89 / $740.26 / $1,124.70	Professional		$610.89	$740.26	$1,124.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.19 / $923.99 / $1,065.88	Facility		$673.19	$923.99	$1,065.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $659.99 / $923.99 / $1,319.98	Professional		$659.99	$923.99	$1,319.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.78 / $809.78 / $817.57	Facility		$809.78	$809.78	$817.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.68 / $1,011.43 / $1,514.35	Professional		$687.68	$1,011.43	$1,514.35
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 $624.99 / $937.44 / $1,389.54	Professional		$624.99	$937.44	$1,389.54