Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,018.35 / $8,229.00	Facility		$787.00	$1,018.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.69 / $953.05 / $1,015.59	Professional		$838.69	$953.05	$1,015.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.50 / $899.42 / $1,316.31	Professional		$764.50	$899.42	$1,316.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.28 / $1,149.80 / $1,342.37	Facility		$944.28	$1,149.80	$1,342.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.94 / $1,296.08 / $1,851.54	Professional		$904.94	$1,296.08	$1,851.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.42 / $1,139.39 / $2,109.00	Facility		$963.42	$1,139.39	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.77 / $1,090.39 / $1,857.12	Professional		$840.77	$1,090.39	$1,857.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,203.50	Professional		$32.34	$32.34	$1,203.50
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 $782.10 / $1,045.15 / $1,667.74	Professional		$782.10	$1,045.15	$1,667.74