Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.40 / $949.05 / $8,229.00	Facility		$752.40	$949.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.40 / $869.82 / $1,035.64	Professional		$752.40	$869.82	$1,035.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.32 / $844.29 / $1,224.59	Professional		$682.32	$844.29	$1,224.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.13 / $1,161.19 / $1,451.49	Facility		$809.13	$1,161.19	$1,451.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $810.76 / $1,161.19 / $1,658.84	Professional		$810.76	$1,161.19	$1,658.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.38 / $1,017.38 / $1,019.77	Facility		$1,017.38	$1,017.38	$1,019.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.74 / $1,216.00 / $1,701.80	Professional		$901.74	$1,216.00	$1,701.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,078.25	Professional		$32.34	$32.34	$1,078.25
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.35 / $1,102.23 / $1,707.77	Professional		$802.35	$1,102.23	$1,707.77