Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.04 / $843.19 / $5,320.00	Facility		$631.04	$843.19	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $735.53 / $898.58	Professional		$631.04	$735.53	$898.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.99 / $751.17 / $1,046.47	Professional		$613.99	$751.17	$1,046.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.83 / $1,027.28 / $1,185.03	Facility		$713.83	$1,027.28	$1,185.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $807.15 / $1,027.28 / $1,467.54	Professional		$807.15	$1,027.28	$1,467.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $1,042.09	Facility		$901.69	$901.69	$1,042.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.56 / $1,056.48 / $1,487.57	Professional		$812.56	$1,056.48	$1,487.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $953.90	Professional		$32.34	$32.34	$953.90
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 $731.34 / $980.46 / $1,409.40	Professional		$731.34	$980.46	$1,409.40