Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.32 / $952.28 / $8,229.00	Facility		$835.32	$952.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.32 / $888.64 / $1,045.31	Professional		$835.32	$888.64	$1,045.31
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 $769.92 / $932.96 / $1,365.90	Professional		$769.92	$932.96	$1,365.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $890.09 / $1,211.99 / $1,398.12	Facility		$890.09	$1,211.99	$1,398.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.23 / $1,211.99 / $1,731.42	Professional		$846.23	$1,211.99	$1,731.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,059.64 / $1,059.64 / $1,247.36	Facility		$1,059.64	$1,059.64	$1,247.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.26 / $1,297.47 / $1,944.15	Professional		$955.26	$1,297.47	$1,944.15
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 $787.64 / $1,085.80 / $1,631.40	Professional		$787.64	$1,085.80	$1,631.40