Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,190.96 / $2,747.00	Facility		$787.00	$1,190.96	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.91 / $972.97 / $1,190.96	Professional		$854.91	$972.97	$1,190.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.02 / $1,106.25 / $1,501.95	Professional		$897.02	$1,106.25	$1,501.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.81 / $1,299.33 / $1,498.89	Facility		$914.81	$1,299.33	$1,498.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $928.10 / $1,299.33 / $1,856.20	Professional		$928.10	$1,299.33	$1,856.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,137.85 / $1,172.71	Facility		$1,137.85	$1,137.85	$1,172.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.75 / $1,503.35 / $2,324.44	Professional		$1,109.75	$1,503.35	$2,324.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,206.53	Professional		$32.34	$32.34	$1,206.53
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.83 / $1,398.55 / $2,221.15	Professional		$1,062.83	$1,398.55	$2,221.15