Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.14 / $816.28 / $8,229.00	Facility		$647.14	$816.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.14 / $753.47 / $961.22	Professional		$647.14	$753.47	$961.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.25 / $729.71 / $1,088.47	Professional		$592.25	$729.71	$1,088.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $698.04 / $1,005.19 / $1,159.55	Facility		$698.04	$1,005.19	$1,159.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $701.84 / $1,005.19 / $1,435.98	Professional		$701.84	$1,005.19	$1,435.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.60 / $881.60 / $946.50	Facility		$881.60	$881.60	$946.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $1,033.65 / $1,605.17	Professional		$753.30	$1,033.65	$1,605.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $933.39	Professional		$32.34	$32.34	$933.39
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 $658.49 / $933.68 / $1,575.47	Professional		$658.49	$933.68	$1,575.47