Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.74 / $898.93 / $8,229.00	Facility		$797.74	$898.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.74 / $913.20 / $1,183.14	Professional		$797.74	$913.20	$1,183.14
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 $735.65 / $875.68 / $1,141.48	Professional		$735.65	$875.68	$1,141.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.42 / $1,054.66 / $1,216.63	Facility		$772.42	$1,054.66	$1,216.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $1,054.66 / $1,506.66	Professional		$736.38	$1,054.66	$1,506.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.55 / $927.55 / $1,072.69	Facility		$927.55	$927.55	$1,072.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.41 / $1,182.13 / $1,840.12	Professional		$949.41	$1,182.13	$1,840.12
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 $828.32 / $1,128.89 / $1,668.42	Professional		$828.32	$1,128.89	$1,668.42