Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.77 / $860.00 / $10,152.00	Facility		$699.77	$860.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $768.97 / $837.10	Professional		$697.67	$768.97	$837.10
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 $649.57 / $787.13 / $1,108.63	Professional		$649.57	$787.13	$1,108.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.79 / $1,033.09 / $1,191.76	Facility		$755.79	$1,033.09	$1,191.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $848.62 / $1,033.09 / $1,475.86	Professional		$848.62	$1,033.09	$1,475.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.42 / $913.40 / $913.40	Facility		$786.42	$913.40	$913.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.42 / $1,025.80 / $1,679.04	Professional		$786.42	$1,025.80	$1,679.04
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 $712.83 / $1,115.68 / $1,555.67	Professional		$712.83	$1,115.68	$1,555.67