Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.48 / $1,243.00 / $8,229.00	Facility		$702.48	$1,243.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.48 / $813.00 / $1,004.68	Professional		$702.48	$813.00	$1,004.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.44 / $788.73 / $1,176.91	Professional		$627.44	$788.73	$1,176.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.99 / $1,084.09 / $1,250.59	Facility		$755.99	$1,084.09	$1,250.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.36 / $1,045.39 / $1,548.72	Professional		$774.36	$1,045.39	$1,548.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $989.29	Facility		$950.80	$950.80	$989.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.31 / $1,125.43 / $1,686.33	Professional		$836.31	$1,125.43	$1,686.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,006.67	Professional		$32.34	$32.34	$1,006.67
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 $732.52 / $1,022.10 / $1,588.66	Professional		$732.52	$1,022.10	$1,588.66