Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.72 / $944.18 / $9,311.00	Facility		$724.72	$944.18	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.48 / $796.39 / $867.79	Professional		$722.48	$796.39	$867.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.25 / $854.60 / $1,224.07	Professional		$705.25	$854.60	$1,224.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $783.61 / $1,071.15 / $1,235.65	Facility		$783.61	$1,071.15	$1,235.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $1,071.15 / $1,530.22	Professional		$765.11	$1,071.15	$1,530.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.95 / $946.97 / $946.97	Facility		$876.95	$946.97	$946.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $1,112.83 / $1,766.26	Professional		$826.96	$1,112.83	$1,766.26
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 $747.53 / $1,160.61 / $1,709.57	Professional		$747.53	$1,160.61	$1,709.57