Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $965.31 / $8,229.00	Facility		$860.00	$965.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.74 / $902.89 / $965.31	Professional		$666.74	$902.89	$965.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,567.00 / $4,022.00 / $7,848.00	Facility		$2,567.00	$4,022.00	$7,848.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.33 / $834.86 / $935.99	Professional		$669.33	$834.86	$935.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $786.20 / $1,102.53 / $1,297.08	Facility		$786.20	$1,102.53	$1,297.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.75 / $1,134.95 / $1,621.36	Professional		$891.75	$1,134.95	$1,621.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.96 / $1,002.96 / $2,280.98	Facility		$1,002.96	$1,002.96	$2,280.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $1,131.01 / $4,170.60	Professional		$729.07	$1,131.01	$4,170.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $45.00 / $65.00	Professional		$33.75	$45.00	$65.00
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 $746.04 / $934.51 / $1,648.34	Professional		$746.04	$934.51	$1,648.34