Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.03 / $894.19 / $8,229.00	Facility		$700.03	$894.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.03 / $773.07 / $833.06	Professional		$700.03	$773.07	$833.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.20 / $855.75 / $1,145.76	Professional		$706.20	$855.75	$1,145.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $777.47 / $1,060.08 / $1,222.90	Facility		$777.47	$1,060.08	$1,222.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $1,060.08 / $1,514.42	Professional		$757.21	$1,060.08	$1,514.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $943.61 / $943.61	Facility		$903.21	$943.61	$943.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.62 / $1,062.36 / $1,807.85	Professional		$804.62	$1,062.36	$1,807.85
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 $722.46 / $1,081.56 / $1,590.51	Professional		$722.46	$1,081.56	$1,590.51