Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $988.19 / $8,229.00	Facility		$637.00	$988.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.41 / $945.23 / $1,119.69	Professional		$821.41	$945.23	$1,119.69
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 $706.94 / $844.34 / $1,305.59	Professional		$706.94	$844.34	$1,305.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $827.15 / $1,164.67 / $1,331.06	Facility		$827.15	$1,164.67	$1,331.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $813.19 / $1,164.67 / $1,663.82	Professional		$813.19	$1,164.67	$1,663.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.73 / $1,026.32 / $1,117.44	Facility		$882.73	$1,026.32	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.97 / $1,120.07 / $1,989.38	Professional		$764.97	$1,120.07	$1,989.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $754.71	Professional		$32.34	$32.34	$754.71
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,723.14 / $6,295.00	Facility		$599.00	$1,723.14	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.92 / $1,027.89 / $1,661.38	Professional		$770.92	$1,027.89	$1,661.38