Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.22 / $976.76 / $10,152.00	Facility		$695.22	$976.76	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.32 / $763.98 / $835.47	Professional		$693.32	$763.98	$835.47
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 $693.04 / $839.81 / $1,147.40	Professional		$693.04	$839.81	$1,147.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.87 / $1,028.43 / $1,186.35	Facility		$751.87	$1,028.43	$1,186.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $718.06 / $1,028.43 / $1,469.18	Professional		$718.06	$1,028.43	$1,469.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.22 / $908.60 / $908.60	Facility		$907.22	$908.60	$908.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.80 / $1,042.67 / $1,726.08	Professional		$801.80	$1,042.67	$1,726.08
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 $744.45 / $1,125.75 / $1,619.98	Professional		$744.45	$1,125.75	$1,619.98