Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.51 / $910.49 / $10,152.00	Facility		$853.51	$910.49	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.96 / $860.23 / $1,011.39	Professional		$810.96	$860.23	$1,011.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.66 / $752.11 / $1,207.61	Professional		$620.66	$752.11	$1,207.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $853.12 / $1,158.81 / $1,336.76	Facility		$853.12	$1,158.81	$1,336.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $951.88 / $1,158.81 / $1,655.44	Professional		$951.88	$1,158.81	$1,655.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.11 / $1,042.67 / $1,042.67	Facility		$862.11	$1,042.67	$1,042.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.92 / $1,141.41 / $1,866.72	Professional		$814.92	$1,141.41	$1,866.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $747.37 / $1,114.11 / $1,574.97	Professional		$747.37	$1,114.11	$1,574.97