Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.52 / $1,061.31 / $8,229.00	Facility		$686.52	$1,061.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.52 / $798.60 / $1,061.31	Professional		$686.52	$798.60	$1,061.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.47 / $806.82 / $1,210.40	Professional		$669.47	$806.82	$1,210.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $739.70 / $1,065.36 / $1,228.98	Facility		$739.70	$1,065.36	$1,228.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.98 / $1,065.36 / $1,521.96	Professional		$760.98	$1,065.36	$1,521.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $934.05 / $1,045.05	Facility		$934.05	$934.05	$1,045.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.80 / $1,095.46 / $1,708.62	Professional		$788.80	$1,095.46	$1,708.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $989.27	Professional		$32.34	$32.34	$989.27
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 $736.66 / $1,052.47 / $1,558.28	Professional		$736.66	$1,052.47	$1,558.28