Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $957.23 / $8,229.00	Facility		$860.00	$957.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.62 / $895.28 / $1,096.80	Professional		$865.62	$895.28	$1,096.80
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 $795.80 / $964.33 / $1,390.20	Professional		$795.80	$964.33	$1,390.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.43 / $1,218.29 / $1,405.39	Facility		$894.43	$1,218.29	$1,405.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $957.23 / $1,218.29 / $1,740.42	Professional		$957.23	$1,218.29	$1,740.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.59 / $1,062.59 / $1,308.81	Facility		$1,062.59	$1,062.59	$1,308.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.64 / $1,267.67 / $2,011.16	Professional		$933.64	$1,267.67	$2,011.16
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 $817.15 / $1,208.73 / $1,832.31	Professional		$817.15	$1,208.73	$1,832.31