Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.27 / $878.96 / $8,229.00	Facility		$774.27	$878.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.27 / $823.69 / $875.88	Professional		$774.27	$823.69	$875.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.10 / $931.97 / $1,488.60	Professional		$769.10	$931.97	$1,488.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.03 / $1,118.67 / $1,290.46	Facility		$815.03	$1,118.67	$1,290.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $878.66 / $1,118.67 / $1,598.10	Professional		$878.66	$1,118.67	$1,598.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.30 / $983.30 / $1,314.32	Facility		$983.30	$983.30	$1,314.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.29 / $1,234.23 / $1,905.29	Professional		$903.29	$1,234.23	$1,905.29
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 $786.81 / $1,062.19 / $1,523.68	Professional		$786.81	$1,062.19	$1,523.68