Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.68 / $991.44 / $8,229.00	Facility		$831.68	$991.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.68 / $859.14 / $1,023.61	Professional		$831.68	$859.14	$1,023.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.34 / $903.19 / $1,225.70	Professional		$745.34	$903.19	$1,225.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.82 / $1,092.29 / $1,260.04	Facility		$795.82	$1,092.29	$1,260.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $897.24 / $1,092.29 / $1,755.47	Professional		$897.24	$1,092.29	$1,755.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.81 / $957.91 / $957.91	Facility		$834.81	$957.91	$957.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.27 / $1,174.34 / $1,820.19	Professional		$814.27	$1,174.34	$1,820.19
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 $815.93 / $1,181.53 / $1,647.48	Professional		$815.93	$1,181.53	$1,647.48