Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.14 / $991.35 / $10,152.00	Facility		$755.14	$991.35	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.84 / $829.83 / $929.77	Professional		$752.84	$829.83	$929.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.56 / $887.70 / $1,211.58	Professional		$732.56	$887.70	$1,211.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.57 / $1,115.30 / $1,286.57	Facility		$812.57	$1,115.30	$1,286.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $916.14 / $1,115.30 / $1,593.28	Professional		$916.14	$1,115.30	$1,593.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $920.77 / $986.28 / $986.28	Facility		$920.77	$986.28	$986.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.56 / $1,171.18 / $1,830.42	Professional		$863.56	$1,171.18	$1,830.42
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 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.58 / $1,156.64 / $1,683.93	Professional		$762.58	$1,156.64	$1,683.93