Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $892.86 / $8,229.00	Facility		$860.00	$892.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.02 / $1,008.47 / $1,303.23	Professional		$884.02	$1,008.47	$1,303.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.56 / $910.86 / $1,322.48	Professional		$755.56	$910.86	$1,322.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $861.81 / $1,175.50 / $1,356.01	Facility		$861.81	$1,175.50	$1,356.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.29 / $1,175.50 / $1,889.19	Professional		$903.29	$1,175.50	$1,889.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.14 / $1,034.14 / $1,065.45	Facility		$1,034.14	$1,034.14	$1,065.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.81 / $1,305.01 / $2,132.73	Professional		$1,005.81	$1,305.01	$2,132.73
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 $910.61 / $1,435.09 / $1,912.55	Professional		$910.61	$1,435.09	$1,912.55