Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.01 / $794.78 / $8,229.00	Facility		$627.01	$794.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.01 / $655.02 / $794.78	Professional		$627.01	$655.02	$794.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,964.00	Facility		$1,643.00	$3,498.00	$8,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.10 / $700.52 / $1,008.80	Professional		$578.10	$700.52	$1,008.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $627.20 / $860.86 / $993.07	Facility		$627.20	$860.86	$993.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $601.05 / $860.86 / $1,229.80	Professional		$601.05	$860.86	$1,229.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.21 / $754.10 / $754.10	Facility		$669.21	$754.10	$754.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.74 / $918.02 / $1,406.23	Professional		$642.74	$918.02	$1,406.23
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 $1,322.00 / $8,525.00 / $25,249.00	Facility		$1,322.00	$8,525.00	$25,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.42 / $872.56 / $1,275.04	Professional		$595.42	$872.56	$1,275.04