Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $860.00 / $8,229.00	Facility		$637.00	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.39 / $734.96 / $866.59	Professional		$659.39	$734.96	$866.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.04 / $820.42 / $1,119.05	Professional		$677.04	$820.42	$1,119.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.10 / $1,057.00 / $1,219.33	Facility		$770.10	$1,057.00	$1,219.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $830.50 / $1,057.00 / $1,510.00	Professional		$830.50	$1,057.00	$1,510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.64 / $935.22 / $935.22	Facility		$855.64	$935.22	$935.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.35 / $1,014.81 / $1,689.23	Professional		$779.35	$1,014.81	$1,689.23
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 $691.09 / $1,011.04 / $1,509.88	Professional		$691.09	$1,011.04	$1,509.88