Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.55 / $982.04 / $8,229.00	Facility		$778.55	$982.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.92 / $905.02 / $1,118.97	Professional		$714.92	$905.02	$1,118.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.14 / $788.42 / $1,229.30	Professional		$646.14	$788.42	$1,229.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.18 / $1,207.67 / $1,393.14	Facility		$837.18	$1,207.67	$1,393.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $862.62 / $1,207.67 / $1,725.24	Professional		$862.62	$1,207.67	$1,725.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,101.83	Facility		$1,056.80	$1,056.80	$1,101.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.89 / $1,125.00 / $1,638.09	Professional		$867.89	$1,125.00	$1,638.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,121.41	Professional		$32.34	$32.34	$1,121.41
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 $779.22 / $1,059.59 / $1,756.04	Professional		$779.22	$1,059.59	$1,756.04