Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.19 / $833.28 / $8,229.00	Facility		$696.19	$833.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.19 / $791.25 / $889.17	Professional		$696.19	$791.25	$889.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.09 / $822.90 / $1,167.91	Professional		$679.09	$822.90	$1,167.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.93 / $1,135.30 / $1,309.65	Facility		$840.93	$1,135.30	$1,309.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.68 / $1,135.30 / $1,824.59	Professional		$792.68	$1,135.30	$1,824.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.18 / $996.18 / $1,029.83	Facility		$996.18	$996.18	$1,029.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,117.76 / $1,704.70	Professional		$848.41	$1,117.76	$1,704.70
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 $809.19 / $1,066.04 / $1,648.73	Professional		$809.19	$1,066.04	$1,648.73