Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.42 / $799.91 / $8,229.00	Facility		$740.42	$799.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.06 / $781.65 / $966.58	Professional		$690.06	$781.65	$966.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.17 / $5,018.00 / $11,253.00	Facility		$2,318.17	$5,018.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $634.63 / $1,031.32	Professional		$523.73	$634.63	$1,031.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.73 / $1,018.07 / $1,174.41	Facility		$741.73	$1,018.07	$1,174.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.19 / $1,018.07 / $1,454.38	Professional		$727.19	$1,018.07	$1,454.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.51 / $893.51 / $893.51	Facility		$893.51	$893.51	$893.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.06 / $933.38 / $1,470.14	Professional		$695.06	$933.38	$1,470.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $799.91	Professional		$32.34	$32.34	$799.91
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 $683.86 / $902.26 / $1,519.32	Professional		$683.86	$902.26	$1,519.32