Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,142.30 / $8,229.00	Facility		$896.00	$1,142.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.61 / $1,044.35 / $1,231.72	Professional		$905.61	$1,044.35	$1,231.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.70 / $1,011.46 / $1,526.41	Professional		$834.70	$1,011.46	$1,526.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $1,386.18 / $1,599.06	Facility		$975.52	$1,386.18	$1,599.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $990.13 / $1,386.18 / $1,980.26	Professional		$990.13	$1,386.18	$1,980.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.57 / $1,221.35 / $1,221.35	Facility		$1,005.57	$1,221.35	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,481.04 / $2,269.44	Professional		$1,017.50	$1,481.04	$2,269.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,287.17	Professional		$32.34	$32.34	$1,287.17
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 $1,026.03 / $1,428.56 / $2,161.67	Professional		$1,026.03	$1,428.56	$2,161.67