Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.90 / $865.64 / $8,229.00	Facility		$663.90	$865.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.90 / $764.80 / $865.64	Professional		$663.90	$764.80	$865.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.07 / $769.15 / $1,090.86	Professional		$624.07	$769.15	$1,090.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $711.85 / $1,020.00 / $1,210.18	Facility		$711.85	$1,020.00	$1,210.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $801.03 / $1,010.80 / $1,457.14	Professional		$801.03	$1,010.80	$1,457.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.37 / $895.74 / $895.74	Facility		$852.37	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.08 / $1,054.29 / $1,495.38	Professional		$792.08	$1,054.29	$1,495.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $947.14	Professional		$32.34	$32.34	$947.14
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 $702.27 / $1,022.39 / $1,530.81	Professional		$702.27	$1,022.39	$1,530.81