Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.14 / $742.14 / $10,290.10	Facility		$742.14	$742.14	$10,290.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.82 / $1,204.82 / $18,777.90	Professional		$1,204.82	$1,204.82	$18,777.90
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 $676.42 / $9,652.02 / $16,384.91	Professional		$676.42	$9,652.02	$16,384.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.93 / $944.54 / $1,089.58	Facility		$689.93	$944.54	$1,089.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $775.87 / $1,079.47 / $18,709.34	Professional		$775.87	$1,079.47	$18,709.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,114.53 / $1,114.53	Professional		$1,114.53	$1,114.53	$1,114.53
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 $13,462.59 / $19,480.62 / $25,426.82	Professional		$13,462.59	$19,480.62	$25,426.82