Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.39 / $1,194.00 / $8,229.00	Facility		$841.39	$1,194.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.39 / $971.28 / $1,132.68	Professional		$841.39	$971.28	$1,132.68
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 $741.93 / $937.46 / $1,310.69	Professional		$741.93	$937.46	$1,310.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.29 / $1,293.98 / $1,617.47	Facility		$900.29	$1,293.98	$1,617.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,016.70 / $1,293.98 / $1,848.54	Professional		$1,016.70	$1,293.98	$1,848.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.03 / $1,135.13 / $1,135.13	Facility		$985.03	$1,135.13	$1,135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.18 / $1,323.13 / $1,917.15	Professional		$967.18	$1,323.13	$1,917.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,201.55	Professional		$32.34	$32.34	$1,201.55
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 $899.16 / $1,222.77 / $1,914.20	Professional		$899.16	$1,222.77	$1,914.20