Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $961.65 / $8,229.00	Facility		$637.00	$961.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.93 / $935.67 / $1,156.42	Professional		$895.93	$935.67	$1,156.42
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 $859.79 / $1,041.85 / $1,593.30	Professional		$859.79	$1,041.85	$1,593.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.40 / $1,223.92 / $1,411.89	Facility		$892.40	$1,223.92	$1,411.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.87 / $1,223.92 / $1,748.46	Professional		$954.87	$1,223.92	$1,748.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,073.30 / $1,073.30	Facility		$1,025.26	$1,073.30	$1,073.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.04 / $1,349.80 / $2,049.98	Professional		$916.04	$1,349.80	$2,049.98
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 $896.64 / $1,298.00 / $1,853.36	Professional		$896.64	$1,298.00	$1,853.36