Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.03 / $879.37 / $9,311.00	Facility		$681.03	$879.37	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.88 / $681.03 / $867.25	Professional		$659.88	$681.03	$867.25
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 $678.98 / $822.77 / $1,128.32	Professional		$678.98	$822.77	$1,128.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.47 / $1,057.83 / $1,220.28	Facility		$779.47	$1,057.83	$1,220.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.93 / $1,057.83 / $1,511.18	Professional		$868.93	$1,057.83	$1,511.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.57 / $935.94 / $935.94	Facility		$866.57	$935.94	$935.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.95 / $1,015.39 / $1,701.00	Professional		$779.95	$1,015.39	$1,701.00
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 $695.19 / $1,034.14 / $1,570.83	Professional		$695.19	$1,034.14	$1,570.83