Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.25 / $597.25 / $7,676.66	Facility		$597.25	$597.25	$7,676.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.65 / $961.65 / $15,394.60	Professional		$961.65	$961.65	$15,394.60
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 $549.00 / $7,720.95 / $13,387.83	Professional		$549.00	$7,720.95	$13,387.83
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $87.84 / $1,235.34 / $2,142.05	Professional	80	$87.84	$1,235.34	$2,142.05
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $76.86 / $1,080.93 / $1,874.29	Professional	AS	$76.86	$1,080.93	$1,874.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.80 / $760.13 / $876.87	Facility		$553.80	$760.13	$876.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $542.95 / $868.72 / $13,702.83	Professional		$542.95	$868.72	$13,702.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.58 / $901.58 / $901.58	Professional		$901.58	$901.58	$901.58
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 Professional Modifier Low / Median / High Price $11,502.20 / $15,779.31 / $20,342.78	Professional		$11,502.20	$15,779.31	$20,342.78