Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.56 / $810.41 / $8,229.00	Facility		$757.56	$810.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.33 / $757.56 / $942.61	Professional		$730.33	$757.56	$942.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.11 / $825.35 / $1,275.90	Professional		$681.11	$825.35	$1,275.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $757.64 / $1,031.44 / $1,189.83	Facility		$757.64	$1,031.44	$1,189.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.16 / $1,031.44 / $1,473.48	Professional		$720.16	$1,031.44	$1,473.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $905.65 / $905.65 / $1,128.60	Facility		$905.65	$905.65	$1,128.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.95 / $1,120.82 / $1,720.55	Professional		$800.95	$1,120.82	$1,720.55
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 $692.91 / $1,036.94 / $1,637.32	Professional		$692.91	$1,036.94	$1,637.32