Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.73 / $916.38 / $8,229.00	Facility		$750.73	$916.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.03 / $750.73 / $862.90	Professional		$727.03	$750.73	$862.90
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 $749.87 / $908.67 / $1,242.39	Professional		$749.87	$908.67	$1,242.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.38 / $1,166.30 / $1,345.41	Facility		$859.38	$1,166.30	$1,345.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.33 / $1,166.30 / $1,666.14	Professional		$814.33	$1,166.30	$1,666.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.27 / $1,031.27 / $1,031.27	Facility		$944.27	$1,031.27	$1,031.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.39 / $1,116.67 / $1,841.11	Professional		$859.39	$1,116.67	$1,841.11
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 $769.03 / $1,143.16 / $1,735.25	Professional		$769.03	$1,143.16	$1,735.25