Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.01 / $957.93 / $8,229.00	Facility		$805.01	$957.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.01 / $917.24 / $1,028.27	Professional		$805.01	$917.24	$1,028.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.07 / $921.03 / $1,349.64	Professional		$760.07	$921.03	$1,349.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.84 / $1,314.81 / $1,516.73	Facility		$973.84	$1,314.81	$1,516.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.96 / $1,314.81 / $1,878.30	Professional		$1,014.96	$1,314.81	$1,878.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.65 / $1,154.65 / $1,183.90	Facility		$1,154.65	$1,154.65	$1,183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.30 / $1,282.55 / $1,939.58	Professional		$961.30	$1,282.55	$1,939.58
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 $933.73 / $1,299.94 / $1,886.47	Professional		$933.73	$1,299.94	$1,886.47