Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.03 / $877.44 / $2,747.00	Facility		$651.03	$877.44	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.03 / $768.92 / $946.07	Professional		$651.03	$768.92	$946.07
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 $629.85 / $779.32 / $1,072.07	Professional		$629.85	$779.32	$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 / $1,084.42	Facility		$926.03	$926.03	$1,084.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.80 / $1,091.48 / $1,559.62	Professional		$771.80	$1,091.48	$1,559.62
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 $761.51 / $1,026.65 / $1,434.27	Professional		$761.51	$1,026.65	$1,434.27