Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.76 / $825.89 / $8,229.00	Facility		$772.76	$825.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.02 / $772.76 / $960.98	Professional		$745.02	$772.76	$960.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,640.07 / $8,584.00 / $14,007.86	Facility		$4,640.07	$8,584.00	$14,007.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.23 / $852.15 / $1,388.10	Professional		$703.23	$852.15	$1,388.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $1,051.13 / $1,212.56	Facility		$772.06	$1,051.13	$1,212.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.92 / $1,051.13 / $1,501.62	Professional		$733.92	$1,051.13	$1,501.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $923.74 / $923.74 / $1,107.13	Facility		$923.74	$923.74	$1,107.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.74 / $1,174.80 / $1,760.24	Professional		$829.74	$1,174.80	$1,760.24
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.29 / $1,079.13 / $1,676.07	Professional		$716.29	$1,079.13	$1,676.07