Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.19 / $717.19 / $9,800.87	Facility		$717.19	$717.19	$9,800.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.54 / $1,159.54 / $20,843.30	Professional		$1,159.54	$1,159.54	$20,843.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.09 / $10,437.15 / $17,377.50	Professional		$663.09	$10,437.15	$17,377.50
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $106.09 / $1,669.94 / $2,780.40	Professional	80	$106.09	$1,669.94	$2,780.40
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $92.83 / $1,461.20 / $2,432.85	Professional	AS	$92.83	$1,461.20	$2,432.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $667.72 / $912.79 / $1,052.96	Facility		$667.72	$912.79	$1,052.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.99 / $1,043.18 / $17,494.55	Professional		$651.99	$1,043.18	$17,494.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.86 / $1,088.86 / $1,088.86	Professional		$1,088.86	$1,088.86	$1,088.86
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 $14,146.73 / $21,057.23 / $28,252.52	Professional		$14,146.73	$21,057.23	$28,252.52