Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.90 / $909.82 / $8,229.00	Facility		$850.90	$909.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.43 / $850.90 / $1,057.19	Professional		$821.43	$850.90	$1,057.19
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 $772.00 / $935.49 / $1,340.50	Professional		$772.00	$935.49	$1,340.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $843.65 / $1,157.95 / $1,335.78	Facility		$843.65	$1,157.95	$1,335.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $951.18 / $1,157.95 / $1,654.22	Professional		$951.18	$1,157.95	$1,654.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.62 / $1,017.62 / $1,275.93	Facility		$1,017.62	$1,017.62	$1,275.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.23 / $1,208.98 / $1,946.57	Professional		$906.23	$1,208.98	$1,946.57
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 $785.15 / $1,184.66 / $1,698.37	Professional		$785.15	$1,184.66	$1,698.37