Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.57 / $856.10 / $9,311.00	Facility		$660.57	$856.10	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.66 / $713.22 / $940.69	Professional		$639.66	$713.22	$940.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $10,933.00	Facility		$2,320.00	$4,334.00	$10,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.77 / $637.11 / $1,036.43	Professional		$525.77	$637.11	$1,036.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.85 / $1,025.71 / $1,183.23	Facility		$755.85	$1,025.71	$1,183.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $796.44 / $1,025.71 / $1,465.30	Professional		$796.44	$1,025.71	$1,465.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.64 / $907.25 / $907.25	Facility		$843.64	$907.25	$907.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.43 / $1,049.88 / $1,644.01	Professional		$694.43	$1,049.88	$1,644.01
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 $671.91 / $942.99 / $1,464.91	Professional		$671.91	$942.99	$1,464.91