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 $758.44 / $791.97 / $977.72	Professional		$758.44	$791.97	$977.72
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 $719.44 / $871.80 / $1,254.80	Professional		$719.44	$871.80	$1,254.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $756.31 / $1,036.94 / $1,196.18	Facility		$756.31	$1,036.94	$1,196.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $740.67 / $1,036.94 / $1,481.34	Professional		$740.67	$1,036.94	$1,481.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.70 / $908.70 / $917.14	Facility		$908.70	$908.70	$917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.17 / $1,127.79 / $1,831.76	Professional		$773.17	$1,127.79	$1,831.76
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 $739.34 / $1,104.02 / $1,508.53	Professional		$739.34	$1,104.02	$1,508.53