Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $830.37 / $8,229.00	Facility		$787.00	$830.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.38 / $915.84 / $1,185.29	Professional		$799.38	$915.84	$1,185.29
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 $783.76 / $949.73 / $1,287.73	Professional		$783.76	$949.73	$1,287.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.02 / $1,056.83 / $1,219.14	Facility		$774.02	$1,056.83	$1,219.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.88 / $1,056.83 / $1,509.76	Professional		$754.88	$1,056.83	$1,509.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.47 / $929.47 / $929.47	Facility		$929.47	$929.47	$929.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.18 / $1,192.28 / $3,773.05	Professional		$783.18	$1,192.28	$3,773.05
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 $827.64 / $1,583.34 / $2,775.61	Professional		$827.64	$1,583.34	$2,775.61