Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $945.79 / $8,229.00	Facility		$637.00	$945.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.72 / $945.79 / $1,278.61	Professional		$872.72	$945.79	$1,278.61
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 $587.47 / $712.01 / $1,100.90	Professional		$587.47	$712.01	$1,100.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.21 / $1,142.88 / $1,306.14	Facility		$818.21	$1,142.88	$1,306.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $897.97 / $1,142.88 / $1,632.68	Professional		$897.97	$1,142.88	$1,632.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.82 / $1,034.95 / $1,728.48	Facility		$765.82	$1,034.95	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $930.79 / $1,651.79	Professional		$694.09	$930.79	$1,651.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $393.75	Professional		$32.34	$32.34	$393.75
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 $665.10 / $846.08 / $1,380.14	Professional		$665.10	$846.08	$1,380.14