Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.65 / $991.97 / $9,311.00	Facility		$853.65	$991.97	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.65 / $891.81 / $1,174.25	Professional		$853.65	$891.81	$1,174.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.54 / $955.63 / $1,257.79	Professional		$769.54	$955.63	$1,257.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.77 / $1,166.34 / $1,345.47	Facility		$849.77	$1,166.34	$1,345.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $958.08 / $1,166.34 / $1,666.22	Professional		$958.08	$1,166.34	$1,666.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.25 / $1,022.17 / $1,022.17	Facility		$835.25	$1,022.17	$1,022.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.81 / $1,190.78 / $1,937.51	Professional		$869.81	$1,190.78	$1,937.51
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 $391.00 / $950.00 / $25,249.00	Facility		$391.00	$950.00	$25,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.30 / $1,185.97 / $1,699.34	Professional		$821.30	$1,185.97	$1,699.34