Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.90 / $965.54 / $8,229.00	Facility		$791.90	$965.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.82 / $791.90 / $910.23	Professional		$738.82	$791.90	$910.23
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 $737.42 / $893.59 / $1,289.65	Professional		$737.42	$893.59	$1,289.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $895.32 / $1,228.85 / $1,417.59	Facility		$895.32	$1,228.85	$1,417.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $951.89 / $1,228.85 / $1,755.52	Professional		$951.89	$1,228.85	$1,755.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.50 / $1,087.19 / $1,087.19	Facility		$1,030.50	$1,087.19	$1,087.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.11 / $1,136.19 / $1,786.49	Professional		$909.11	$1,136.19	$1,786.49
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 $787.73 / $1,108.32 / $1,731.07	Professional		$787.73	$1,108.32	$1,731.07