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 $747.77 / $781.04 / $927.99	Professional		$747.77	$781.04	$927.99
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 $709.41 / $859.65 / $1,128.90	Professional		$709.41	$859.65	$1,128.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.96 / $1,021.44 / $1,178.30	Facility		$744.96	$1,021.44	$1,178.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $825.09 / $1,021.44 / $1,641.60	Professional		$825.09	$1,021.44	$1,641.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.38 / $895.39 / $895.39	Facility		$781.38	$895.39	$895.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.00 / $1,068.38 / $1,690.10	Professional		$762.00	$1,068.38	$1,690.10
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $722.39 / $1,088.63 / $1,541.37	Professional		$722.39	$1,088.63	$1,541.37