Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.07 / $896.00 / $8,229.00	Facility		$656.07	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.07 / $764.75 / $985.90	Professional		$656.07	$764.75	$985.90
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 $601.15 / $756.26 / $1,056.90	Professional		$601.15	$756.26	$1,056.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.30 / $1,020.81 / $1,177.58	Facility		$709.30	$1,020.81	$1,177.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.74 / $1,020.81 / $1,458.30	Professional		$712.74	$1,020.81	$1,458.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.47 / $896.11 / $896.11	Facility		$852.47	$896.11	$896.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.34 / $1,049.88 / $1,477.79	Professional		$762.34	$1,049.88	$1,477.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $947.90	Professional		$32.34	$32.34	$947.90
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 $711.16 / $1,001.64 / $1,481.73	Professional		$711.16	$1,001.64	$1,481.73