Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.38 / $827.74 / $7,702.00	Facility		$303.38	$827.74	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $708.50 / $863.70	Professional		$266.97	$708.50	$863.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,125.00 / $14,034.00	Facility		$3,565.00	$6,125.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $857.91 / $1,621.12	Professional		$289.17	$857.91	$1,621.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.07 / $416.07 / $444.96	Facility		$416.07	$416.07	$444.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.56 / $1,053.49 / $1,693.10	Professional		$735.56	$1,053.49	$1,693.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.83 / $546.83 / $546.83	Facility		$546.83	$546.83	$546.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $1,086.07 / $2,332.63	Professional		$340.85	$1,086.07	$2,332.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $20,243.00	Facility		$973.00	$4,639.00	$20,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $955.55 / $1,540.91 / $1,961.66	Professional		$955.55	$1,540.91	$1,961.66