Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.95 / $925.84 / $8,229.00	Facility		$738.95	$925.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.95 / $856.19 / $1,018.39	Professional		$738.95	$856.19	$1,018.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,114.00 / $10,099.00 / $27,661.28	Facility		$8,114.00	$10,099.00	$27,661.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $856.99 / $1,193.51	Professional		$663.30	$856.99	$1,193.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $814.47 / $1,196.54 / $1,380.29	Facility		$814.47	$1,196.54	$1,380.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.92 / $1,196.54 / $1,709.34	Professional		$936.92	$1,196.54	$1,709.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.24 / $1,050.24 / $1,144.25	Facility		$1,050.24	$1,050.24	$1,144.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.94 / $1,252.22 / $1,922.06	Professional		$885.94	$1,252.22	$1,922.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,111.07	Professional		$32.34	$32.34	$1,111.07
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 $842.09 / $1,146.20 / $1,620.21	Professional		$842.09	$1,146.20	$1,620.21