Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $787.00 / $8,229.00	Facility		$637.00	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.80 / $769.00 / $1,023.00	Professional		$738.80	$769.00	$1,023.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.55 / $823.46 / $1,082.19	Professional		$679.55	$823.46	$1,082.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.88 / $1,014.15 / $1,169.89	Facility		$738.88	$1,014.15	$1,169.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.05 / $1,014.15 / $1,448.78	Professional		$833.05	$1,014.15	$1,448.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $884.80 / $884.80 / $884.80	Facility		$884.80	$884.80	$884.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.05 / $1,056.11 / $1,640.54	Professional		$742.05	$1,056.11	$1,640.54
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 / $5,592.00 / $20,243.00	Facility		$842.00	$5,592.00	$20,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.55 / $1,042.80 / $1,502.60	Professional		$689.55	$1,042.80	$1,502.60