Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.94 / $829.11 / $8,229.00	Facility		$713.94	$829.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.68 / $784.55 / $855.01	Professional		$711.68	$784.55	$855.01
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 $680.81 / $824.99 / $1,127.05	Professional		$680.81	$824.99	$1,127.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $768.82 / $1,055.24 / $1,217.29	Facility		$768.82	$1,055.24	$1,217.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.11 / $1,055.24 / $1,507.48	Professional		$829.11	$1,055.24	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.40 / $932.94 / $932.94	Facility		$840.40	$932.94	$932.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.86 / $1,046.82 / $1,723.53	Professional		$814.86	$1,046.82	$1,723.53
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 $719.92 / $1,143.60 / $1,555.57	Professional		$719.92	$1,143.60	$1,555.57