Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.31 / $787.00 / $8,229.00	Facility		$664.31	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.62 / $730.01 / $794.94	Professional		$655.62	$730.01	$794.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.49 / $806.43 / $1,079.70	Professional		$665.49	$806.43	$1,079.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.71 / $993.19 / $1,145.72	Facility		$724.71	$993.19	$1,145.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $804.40 / $993.19 / $1,418.84	Professional		$804.40	$993.19	$1,418.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.02 / $873.30 / $873.30	Facility		$820.02	$873.30	$873.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.57 / $1,034.39 / $1,582.96	Professional		$754.57	$1,034.39	$1,582.96
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 $714.86 / $1,049.48 / $1,502.50	Professional		$714.86	$1,049.48	$1,502.50