Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.86 / $1,091.08 / $8,229.00	Facility		$841.86	$1,091.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.86 / $966.68 / $1,157.06	Professional		$841.86	$966.68	$1,157.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.86 / $1,016.76 / $1,539.19	Professional		$827.86	$1,016.76	$1,539.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $916.31 / $1,294.97 / $1,493.84	Facility		$916.31	$1,294.97	$1,493.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $924.98 / $1,294.97 / $1,849.96	Professional		$924.98	$1,294.97	$1,849.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,074.35 / $1,134.56 / $1,134.56	Facility		$1,074.35	$1,134.56	$1,134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.59 / $1,347.52 / $1,961.07	Professional		$981.59	$1,347.52	$1,961.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,202.47	Professional		$32.34	$32.34	$1,202.47
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 $910.25 / $1,282.11 / $1,947.54	Professional		$910.25	$1,282.11	$1,947.54