Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $959.60 / $8,229.00	Facility		$637.00	$959.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.28 / $934.01 / $1,154.28	Professional		$894.28	$934.01	$1,154.28
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 $854.64 / $1,028.54 / $1,425.70	Professional		$854.64	$1,028.54	$1,425.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.81 / $1,221.30 / $1,408.87	Facility		$889.81	$1,221.30	$1,408.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.36 / $1,221.30 / $1,744.72	Professional		$872.36	$1,221.30	$1,744.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,019.82 / $1,071.01 / $1,071.01	Facility		$1,019.82	$1,071.01	$1,071.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.04 / $1,336.01 / $2,026.03	Professional		$914.04	$1,336.01	$2,026.03
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 $816.85 / $1,311.47 / $1,849.24	Professional		$816.85	$1,311.47	$1,849.24