Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.10 / $1,163.92 / $2,747.00	Facility		$759.10	$1,163.92	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.10 / $1,163.92 / $1,605.78	Professional		$759.10	$1,163.92	$1,605.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.86 / $1,226.71 / $1,516.25	Professional		$746.86	$1,226.71	$1,516.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.87 / $1,036.07 / $1,209.58	Facility		$850.87	$1,036.07	$1,209.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $1,219.44 / $2,495.02	Professional		$913.56	$1,219.44	$2,495.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.91 / $1,534.91 / $1,534.91	Facility		$1,534.91	$1,534.91	$1,534.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.70 / $1,347.29 / $2,663.86	Professional		$869.70	$1,347.29	$2,663.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,621.76	Professional		$32.34	$32.34	$1,621.76
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.03 / $1,760.31 / $2,377.86	Professional		$1,276.03	$1,760.31	$2,377.86