Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.48 / $939.92 / $10,152.00	Facility		$718.48	$939.92	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.11 / $789.54 / $860.86	Professional		$716.11	$789.54	$860.86
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 $700.95 / $849.39 / $1,160.89	Professional		$700.95	$849.39	$1,160.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,135.70 / $1,135.70 / $1,135.70	Facility		$1,135.70	$1,135.70	$1,135.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,489.40 / $1,489.40 / $1,489.40	Professional		$1,489.40	$1,489.40	$1,489.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $938.86 / $938.86	Facility		$873.00	$938.86	$938.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.52 / $1,098.20 / $1,747.29	Professional		$820.52	$1,098.20	$1,747.29
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.94 / $1,099.06 / $1,625.15	Professional		$752.94	$1,099.06	$1,625.15