Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.26 / $864.32 / $8,229.00	Facility		$702.26	$864.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.26 / $723.00 / $865.58	Professional		$702.26	$723.00	$865.58
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 $654.13 / $784.52 / $1,112.00	Professional		$654.13	$784.52	$1,112.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.49 / $918.92 / $1,060.03	Facility		$669.49	$918.92	$1,060.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.79 / $918.92 / $1,476.83	Professional		$715.79	$918.92	$1,476.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.83 / $805.64 / $805.64	Facility		$728.83	$805.64	$805.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.57 / $1,018.70 / $1,554.70	Professional		$695.57	$1,018.70	$1,554.70
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.75 / $1,003.79 / $1,408.87	Professional		$692.75	$1,003.79	$1,408.87