Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.24 / $906.30 / $2,747.00	Facility		$723.24	$906.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $856.91 / $1,072.77	Professional		$723.24	$856.91	$1,072.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.08 / $780.72 / $1,136.33	Professional		$633.08	$780.72	$1,136.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.10 / $1,153.47 / $1,330.61	Facility		$788.10	$1,153.47	$1,330.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.37 / $1,153.47 / $1,647.82	Professional		$805.37	$1,153.47	$1,647.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.07 / $1,017.00 / $1,017.00	Facility		$865.07	$1,017.00	$1,017.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.24 / $1,115.74 / $1,679.76	Professional		$822.24	$1,115.74	$1,679.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,071.08	Professional		$32.34	$32.34	$1,071.08
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.71 / $1,133.91 / $1,623.70	Professional		$755.71	$1,133.91	$1,623.70