Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.03 / $883.98 / $2,747.00	Facility		$651.03	$883.98	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.03 / $756.85 / $922.65	Professional		$651.03	$756.85	$922.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.52 / $778.68 / $1,072.07	Professional		$634.52	$778.68	$1,072.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.62 / $1,057.74 / $1,220.18	Facility		$733.62	$1,057.74	$1,220.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $755.53 / $1,057.74 / $1,511.06	Professional		$755.53	$1,057.74	$1,511.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $1,092.50	Facility		$926.03	$926.03	$1,092.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.69 / $1,092.50 / $1,526.69	Professional		$771.69	$1,092.50	$1,526.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $982.19	Professional		$32.34	$32.34	$982.19
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.12 / $1,025.80 / $1,467.27	Professional		$793.12	$1,025.80	$1,467.27