Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $981.49 / $8,229.00	Facility		$860.00	$981.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.09 / $980.79 / $1,164.42	Professional		$946.09	$980.79	$1,164.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.02 / $883.41 / $1,294.44	Professional		$729.02	$883.41	$1,294.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $916.73 / $1,246.08 / $1,437.45	Facility		$916.73	$1,246.08	$1,437.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.03 / $1,246.08 / $1,780.12	Professional		$870.03	$1,246.08	$1,780.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.42 / $1,090.44 / $1,090.44	Facility		$826.42	$1,090.44	$1,090.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.70 / $1,211.55 / $1,846.17	Professional		$908.70	$1,211.55	$1,846.17
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 $796.28 / $1,153.48 / $1,836.45	Professional		$796.28	$1,153.48	$1,836.45