Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,195.20 / $8,229.00	Facility		$896.00	$1,195.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.44 / $1,102.92 / $1,250.74	Professional		$915.44	$1,102.92	$1,250.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.89 / $965.07 / $1,362.23	Professional		$789.89	$965.07	$1,362.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $997.07 / $1,479.41 / $1,706.60	Facility		$997.07	$1,479.41	$1,706.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,162.39 / $1,479.41 / $2,113.44	Professional		$1,162.39	$1,479.41	$2,113.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.02 / $1,303.43 / $1,303.43	Facility		$1,086.02	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.39 / $1,380.21 / $1,875.11	Professional		$1,018.39	$1,380.21	$1,875.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,373.74	Professional		$32.34	$32.34	$1,373.74
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.78 / $1,285.91 / $2,081.04	Professional		$953.78	$1,285.91	$2,081.04