Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.67 / $860.13 / $8,229.00	Facility		$829.67	$860.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.67 / $943.68 / $1,059.02	Professional		$829.67	$943.68	$1,059.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.03 / $817.81 / $1,341.97	Professional		$687.03	$817.81	$1,341.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,002.14 / $1,353.04 / $1,560.83	Facility		$1,002.14	$1,353.04	$1,560.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.43 / $1,353.04 / $1,932.92	Professional		$1,111.43	$1,353.04	$1,932.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.03 / $1,186.91 / $1,186.91	Facility		$1,063.03	$1,186.91	$1,186.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.38 / $1,236.18 / $1,760.63	Professional		$908.38	$1,236.18	$1,760.63
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.55 / $1,293.88 / $1,945.85	Professional		$850.55	$1,293.88	$1,945.85