Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $947.20 / $8,229.00	Facility		$637.00	$947.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.84 / $953.99 / $1,138.27	Professional		$882.84	$953.99	$1,138.27
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 $871.71 / $1,051.36 / $1,441.50	Professional		$871.71	$1,051.36	$1,441.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $878.32 / $1,205.53 / $1,390.67	Facility		$878.32	$1,205.53	$1,390.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $1,205.53 / $1,722.18	Professional		$861.09	$1,205.53	$1,722.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.82 / $1,057.80 / $1,057.80	Facility		$1,034.82	$1,057.80	$1,057.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.94 / $1,340.37 / $2,128.77	Professional		$898.94	$1,340.37	$2,128.77
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 $887.45 / $1,308.75 / $1,927.76	Professional		$887.45	$1,308.75	$1,927.76