Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.85 / $911.94 / $8,229.00	Facility		$744.85	$911.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.85 / $886.72 / $1,396.58	Professional		$744.85	$886.72	$1,396.58
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 $705.04 / $854.34 / $1,249.11	Professional		$705.04	$854.34	$1,249.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.12 / $1,216.57 / $1,403.40	Facility		$901.12	$1,216.57	$1,403.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $955.88 / $1,216.57 / $1,737.96	Professional		$955.88	$1,216.57	$1,737.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,068.33 / $1,068.33 / $1,127.06	Facility		$1,068.33	$1,068.33	$1,127.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.91 / $1,173.49 / $1,770.41	Professional		$909.91	$1,173.49	$1,770.41
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 $863.85 / $1,217.42 / $1,741.97	Professional		$863.85	$1,217.42	$1,741.97