Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.60 / $867.20 / $2,747.00	Facility		$797.60	$867.20	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.37 / $864.90 / $1,300.44	Professional		$709.37	$864.90	$1,300.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $690.47 / $1,072.67	Professional		$569.79	$690.47	$1,072.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.44 / $986.13 / $1,160.14	Facility		$672.44	$986.13	$1,160.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $725.09 / $1,015.13 / $1,576.72	Professional		$725.09	$1,015.13	$1,576.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.95 / $734.89 / $1,334.17	Facility		$537.95	$734.89	$1,334.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.30 / $926.31 / $3,755.89	Professional		$672.30	$926.31	$3,755.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.74	Professional		$32.34	$32.34	$546.74
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.92 / $952.15 / $1,757.32	Professional		$713.92	$952.15	$1,757.32