Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $886.35 / $8,229.00	Facility		$637.00	$886.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.34 / $779.08 / $927.18	Professional		$753.34	$779.08	$927.18
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 $680.12 / $831.52 / $1,111.10	Professional		$680.12	$831.52	$1,111.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $722.50 / $990.40 / $1,142.51	Facility		$722.50	$990.40	$1,142.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $778.17 / $990.40 / $1,414.86	Professional		$778.17	$990.40	$1,414.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.32 / $867.66 / $867.66	Facility		$746.32	$867.66	$867.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.21 / $1,012.14 / $1,631.30	Professional		$737.21	$1,012.14	$1,631.30
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $1,065.89 / $1,528.74	Professional		$739.40	$1,065.89	$1,528.74