Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $896.00 / $10,152.00	Facility		$692.27	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.58 / $760.74 / $826.36	Professional		$674.58	$760.74	$826.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.07 / $790.71 / $1,082.66	Professional		$653.07	$790.71	$1,082.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.89 / $1,022.39 / $1,179.41	Facility		$744.89	$1,022.39	$1,179.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.85 / $1,022.39 / $1,460.56	Professional		$713.85	$1,022.39	$1,460.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.87 / $905.72 / $905.72	Facility		$796.87	$905.72	$905.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.83 / $990.48 / $1,553.67	Professional		$770.83	$990.48	$1,553.67
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 $701.51 / $1,068.99 / $1,522.54	Professional		$701.51	$1,068.99	$1,522.54