Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.01 / $980.02 / $8,229.00	Facility		$714.01	$980.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.01 / $818.01 / $1,058.77	Professional		$714.01	$818.01	$1,058.77
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 $605.03 / $711.81 / $985.15	Professional		$605.03	$711.81	$985.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.80 / $944.55 / $1,089.60	Facility		$691.80	$944.55	$1,089.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $740.23 / $944.55 / $1,349.36	Professional		$740.23	$944.55	$1,349.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.77 / $830.77 / $830.77	Facility		$830.77	$830.77	$830.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.97 / $1,068.49 / $1,937.04	Professional		$760.97	$1,068.49	$1,937.04
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 $760.24 / $1,192.02 / $1,552.88	Professional		$760.24	$1,192.02	$1,552.88