Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.48 / $924.75 / $8,229.00	Facility		$789.48	$924.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.48 / $905.94 / $1,083.29	Professional		$789.48	$905.94	$1,083.29
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 $683.85 / $877.48 / $1,231.79	Professional		$683.85	$877.48	$1,231.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.91 / $1,288.14 / $1,485.97	Facility		$865.91	$1,288.14	$1,485.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.40 / $1,242.14 / $1,840.20	Professional		$899.40	$1,242.14	$1,840.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.69 / $1,132.69 / $1,142.90	Facility		$1,132.69	$1,132.69	$1,142.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.95 / $1,264.93 / $1,775.38	Professional		$937.95	$1,264.93	$1,775.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,196.13	Professional		$32.34	$32.34	$1,196.13
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 $856.99 / $1,169.42 / $1,661.67	Professional		$856.99	$1,169.42	$1,661.67