Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.31 / $816.62 / $8,229.00	Facility		$673.31	$816.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.75 / $891.85 / $1,164.31	Professional		$779.75	$891.85	$1,164.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.04 / $812.99 / $1,118.23	Professional		$691.04	$812.99	$1,118.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.00 / $1,039.33 / $1,198.94	Facility		$763.00	$1,039.33	$1,198.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $725.68 / $1,039.33 / $1,484.76	Professional		$725.68	$1,039.33	$1,484.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.32 / $913.32 / $913.32	Facility		$913.32	$913.32	$913.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.19 / $1,110.83 / $1,750.62	Professional		$912.19	$1,110.83	$1,750.62
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 $787.04 / $1,058.64 / $1,586.56	Professional		$787.04	$1,058.64	$1,586.56