Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.72 / $931.62 / $10,152.00	Facility		$725.72	$931.62	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.20 / $797.49 / $870.43	Professional		$721.20	$797.49	$870.43
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 $716.43 / $868.16 / $1,153.05	Professional		$716.43	$868.16	$1,153.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.57 / $1,084.93 / $1,251.55	Facility		$793.57	$1,084.93	$1,251.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.51 / $1,084.93 / $1,549.90	Professional		$757.51	$1,084.93	$1,549.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.29 / $951.46 / $951.46	Facility		$865.29	$951.46	$951.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.30 / $1,093.68 / $1,761.68	Professional		$825.30	$1,093.68	$1,761.68
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 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.59 / $1,146.98 / $1,638.42	Professional		$753.59	$1,146.98	$1,638.42