Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.09 / $1,183.70 / $8,229.00	Facility		$842.09	$1,183.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.09 / $979.02 / $1,183.70	Professional		$842.09	$979.02	$1,183.70
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 $797.41 / $985.87 / $1,445.80	Professional		$797.41	$985.87	$1,445.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $906.27 / $1,306.72 / $1,507.38	Facility		$906.27	$1,306.72	$1,507.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.71 / $1,306.72 / $1,866.74	Professional		$1,026.71	$1,306.72	$1,866.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.23 / $1,144.23 / $1,165.57	Facility		$1,144.23	$1,144.23	$1,165.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.84 / $1,359.36 / $1,910.70	Professional		$987.84	$1,359.36	$1,910.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,213.38	Professional		$32.34	$32.34	$1,213.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $16,855.00	Facility		$1,168.00	$6,186.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.68 / $1,221.45 / $1,924.50	Professional		$913.68	$1,221.45	$1,924.50