Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.90 / $1,060.65 / $8,229.00	Facility		$837.90	$1,060.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.90 / $974.28 / $1,203.22	Professional		$837.90	$974.28	$1,203.22
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 $713.42 / $906.15 / $1,256.90	Professional		$713.42	$906.15	$1,256.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.47 / $1,299.96 / $1,499.59	Facility		$900.47	$1,299.96	$1,499.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $907.65 / $1,299.96 / $1,857.08	Professional		$907.65	$1,299.96	$1,857.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,044.40 / $1,137.59 / $1,137.59	Facility		$1,044.40	$1,137.59	$1,137.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.00 / $1,273.91 / $1,852.31	Professional		$948.00	$1,273.91	$1,852.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,207.09	Professional		$32.34	$32.34	$1,207.09
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 $884.92 / $1,181.94 / $1,937.03	Professional		$884.92	$1,181.94	$1,937.03