Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $996.62 / $8,229.00	Facility		$949.00	$996.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.56 / $972.45 / $1,212.08	Professional		$895.56	$972.45	$1,212.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.85 / $886.83 / $1,336.16	Professional		$731.85	$886.83	$1,336.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $924.14 / $1,268.43 / $1,463.23	Facility		$924.14	$1,268.43	$1,463.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $885.63 / $1,268.43 / $1,812.04	Professional		$885.63	$1,268.43	$1,812.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.11 / $1,113.11 / $1,113.11	Facility		$1,113.11	$1,113.11	$1,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.34 / $1,240.46 / $1,891.66	Professional		$944.34	$1,240.46	$1,891.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $996.62	Professional		$32.34	$32.34	$996.62
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.69 / $1,179.42 / $1,902.92	Professional		$870.69	$1,179.42	$1,902.92