Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,063.52 / $8,229.00	Facility		$787.00	$1,063.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.06 / $1,021.71 / $1,110.08	Professional		$880.06	$1,021.71	$1,110.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.68 / $1,071.41 / $1,421.57	Professional		$898.68	$1,071.41	$1,421.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.17 / $1,353.58 / $1,561.44	Facility		$986.17	$1,353.58	$1,561.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.88 / $1,353.58 / $1,933.68	Professional		$1,071.88	$1,353.58	$1,933.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.75 / $1,192.75 / $1,192.75	Facility		$1,192.75	$1,192.75	$1,192.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.04 / $1,426.11 / $2,225.34	Professional		$1,028.04	$1,426.11	$2,225.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.46 / $1,420.54 / $2,166.46	Professional		$1,042.46	$1,420.54	$2,166.46