Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $988.00 / $8,229.00	Facility		$787.00	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.23 / $868.41 / $1,016.62	Professional		$831.23	$868.41	$1,016.62
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 $781.86 / $947.44 / $1,248.86	Professional		$781.86	$947.44	$1,248.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.82 / $1,133.47 / $1,307.54	Facility		$825.82	$1,133.47	$1,307.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $791.40 / $1,133.47 / $1,619.24	Professional		$791.40	$1,133.47	$1,619.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $993.86 / $993.86	Facility		$856.00	$993.86	$993.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.53 / $1,161.35 / $1,886.25	Professional		$847.53	$1,161.35	$1,886.25
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 / $20,243.00	Facility		$599.00	$2,723.00	$20,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.25 / $1,199.79 / $1,714.86	Professional		$792.25	$1,199.79	$1,714.86