Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.78 / $988.92 / $8,229.00	Facility		$790.78	$988.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.78 / $899.92 / $1,009.12	Professional		$790.78	$899.92	$1,009.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.46 / $937.26 / $1,327.56	Professional		$773.46	$937.26	$1,327.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.00 / $1,289.40 / $1,487.42	Facility		$955.00	$1,289.40	$1,487.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $991.06 / $1,289.40 / $1,842.00	Professional		$991.06	$1,289.40	$1,842.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.83 / $1,131.83 / $1,222.21	Facility		$1,131.83	$1,131.83	$1,222.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.25 / $1,270.20 / $1,939.92	Professional		$964.25	$1,270.20	$1,939.92
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 $918.89 / $1,242.65 / $1,726.47	Professional		$918.89	$1,242.65	$1,726.47