Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.85 / $1,171.57 / $8,229.00	Facility		$837.85	$1,171.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.85 / $974.12 / $1,171.57	Professional		$837.85	$974.12	$1,171.57
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 $794.34 / $975.07 / $1,439.40	Professional		$794.34	$975.07	$1,439.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.68 / $1,299.82 / $1,499.42	Facility		$901.68	$1,299.82	$1,499.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $907.55 / $1,299.82 / $1,856.88	Professional		$907.55	$1,299.82	$1,856.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.27 / $1,138.27 / $1,153.63	Facility		$1,138.27	$1,138.27	$1,153.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.58 / $1,357.64 / $1,930.35	Professional		$981.58	$1,357.64	$1,930.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,206.97	Professional		$32.34	$32.34	$1,206.97
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 $940.31 / $1,267.01 / $1,903.99	Professional		$940.31	$1,267.01	$1,903.99