Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.47 / $915.81 / $10,152.00	Facility		$640.47	$915.81	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.67 / $703.81 / $769.50	Professional		$638.67	$703.81	$769.50
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 $641.95 / $777.90 / $1,062.80	Professional		$641.95	$777.90	$1,062.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.56 / $947.56 / $1,013.36	Facility		$947.56	$947.56	$1,013.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $778.35 / $932.15 / $1,522.87	Professional		$778.35	$932.15	$1,522.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.28 / $837.28 / $850.60	Facility		$837.28	$837.28	$850.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.01 / $978.46 / $1,587.85	Professional		$738.01	$978.46	$1,587.85
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.33 / $1,036.19 / $1,462.30	Professional		$674.33	$1,036.19	$1,462.30