Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.25 / $1,219.04 / $8,229.00	Facility		$791.25	$1,219.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.25 / $919.59 / $1,219.04	Professional		$791.25	$919.59	$1,219.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.12 / $939.38 / $1,403.85	Professional		$778.12	$939.38	$1,403.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.17 / $1,226.25 / $1,414.57	Facility		$850.17	$1,226.25	$1,414.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.89 / $1,226.25 / $1,751.78	Professional		$875.89	$1,226.25	$1,751.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.61 / $1,073.61 / $1,200.35	Facility		$1,073.61	$1,073.61	$1,200.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.62 / $1,310.63 / $1,977.28	Professional		$931.62	$1,310.63	$1,977.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,138.66	Professional		$32.34	$32.34	$1,138.66
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 $857.69 / $1,198.51 / $1,811.52	Professional		$857.69	$1,198.51	$1,811.52