Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $984.93 / $8,229.00	Facility		$637.00	$984.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.03 / $984.93 / $1,225.83	Professional		$908.03	$984.93	$1,225.83
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 $621.66 / $758.61 / $1,250.43	Professional		$621.66	$758.61	$1,250.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.32 / $1,191.43 / $1,361.63	Facility		$852.32	$1,191.43	$1,361.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.02 / $1,191.43 / $1,702.04	Professional		$851.02	$1,191.43	$1,702.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.53 / $1,075.96 / $1,728.48	Facility		$802.53	$1,075.96	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.16 / $984.98 / $1,772.41	Professional		$742.16	$984.98	$1,772.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $544.41	Professional		$32.34	$32.34	$544.41
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 $692.64 / $877.70 / $1,453.79	Professional		$692.64	$877.70	$1,453.79