Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $869.28 / $8,229.00	Facility		$637.00	$869.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.70 / $869.28 / $1,042.65	Professional		$802.70	$869.28	$1,042.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.62 / $644.72 / $1,068.20	Professional		$502.62	$644.72	$1,068.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.99 / $1,048.38 / $1,198.14	Facility		$750.99	$1,048.38	$1,198.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.99 / $1,048.38 / $1,497.68	Professional		$731.99	$1,048.38	$1,497.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.46 / $952.18 / $1,728.48	Facility		$698.46	$952.18	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.08 / $851.66 / $1,526.43	Professional		$635.08	$851.66	$1,526.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $441.96	Professional		$32.34	$32.34	$441.96
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 $603.76 / $784.88 / $1,307.24	Professional		$603.76	$784.88	$1,307.24