Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.32 / $860.00 / $8,229.00	Facility		$754.32	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $754.32 / $992.23	Professional		$727.70	$754.32	$992.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.18 / $860.58 / $1,293.03	Professional		$710.18	$860.58	$1,293.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $752.83 / $1,025.16 / $1,182.59	Facility		$752.83	$1,025.16	$1,182.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.49 / $1,025.16 / $1,464.52	Professional		$805.49	$1,025.16	$1,464.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.19 / $901.19 / $1,248.47	Facility		$901.19	$901.19	$1,248.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.11 / $1,129.32 / $1,729.33	Professional		$828.11	$1,129.32	$1,729.33
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 $709.53 / $1,094.43 / $1,640.24	Professional		$709.53	$1,094.43	$1,640.24