Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.12 / $840.87 / $8,229.00	Facility		$802.12	$840.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.19 / $833.45 / $1,024.50	Professional		$782.19	$833.45	$1,024.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.21 / $775.62 / $1,190.33	Professional		$601.21	$775.62	$1,190.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.72 / $1,070.20 / $1,234.56	Facility		$779.72	$1,070.20	$1,234.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $747.23 / $1,070.20 / $1,528.86	Professional		$747.23	$1,070.20	$1,528.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $948.57 / $948.57 / $948.57	Facility		$948.57	$948.57	$948.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.07 / $1,079.38 / $1,714.02	Professional		$778.07	$1,079.38	$1,714.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $840.87	Professional		$32.34	$32.34	$840.87
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.86 / $1,072.26 / $1,582.61	Professional		$765.86	$1,072.26	$1,582.61