Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.38 / $847.34 / $8,229.00	Facility		$729.38	$847.34	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.07 / $801.51 / $872.78	Professional		$727.07	$801.51	$872.78
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 $699.52 / $847.66 / $1,160.43	Professional		$699.52	$847.66	$1,160.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.95 / $1,078.43 / $1,244.04	Facility		$788.95	$1,078.43	$1,244.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.98 / $1,078.43 / $1,540.62	Professional		$752.98	$1,078.43	$1,540.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.33 / $953.40 / $953.40	Facility		$865.33	$953.40	$953.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.13 / $1,069.90 / $1,770.43	Professional		$832.13	$1,069.90	$1,770.43
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 $721.30 / $1,114.64 / $1,622.79	Professional		$721.30	$1,114.64	$1,622.79