Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.68 / $960.07 / $8,229.00	Facility		$751.68	$960.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.22 / $778.10 / $960.07	Professional		$650.22	$778.10	$960.07
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 $614.41 / $744.53 / $1,070.70	Professional		$614.41	$744.53	$1,070.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.47 / $1,013.59 / $1,169.24	Facility		$738.47	$1,013.59	$1,169.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $800.01 / $1,013.59 / $1,447.98	Professional		$800.01	$1,013.59	$1,447.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $889.21 / $889.21 / $889.21	Facility		$889.21	$889.21	$889.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.01 / $985.03 / $1,437.04	Professional		$741.01	$985.03	$1,437.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $796.39	Professional		$32.34	$32.34	$796.39
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.26 / $904.62 / $1,391.31	Professional		$659.26	$904.62	$1,391.31