Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.13 / $860.00 / $8,229.00	Facility		$776.13	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.13 / $922.11 / $935.57	Professional		$776.13	$922.11	$935.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $968.74 / $1,309.76	Professional		$799.44	$968.74	$1,309.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $907.90 / $1,241.36 / $1,432.01	Facility		$907.90	$1,241.36	$1,432.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $975.36 / $1,241.36 / $1,773.38	Professional		$975.36	$1,241.36	$1,773.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.39 / $1,096.39 / $1,096.39	Facility		$1,096.39	$1,096.39	$1,096.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.66 / $1,271.06 / $2,023.19	Professional		$913.66	$1,271.06	$2,023.19
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.73 / $1,364.37 / $1,851.66	Professional		$858.73	$1,364.37	$1,851.66