Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,924.00 / $8,229.00	Facility		$860.00	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,059.84 / $1,324.08	Professional		$907.79	$1,059.84	$1,324.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,420.00 / $2,015.82	Professional		$1,207.00	$1,420.00	$2,015.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $979.34 / $1,373.31 / $1,630.81	Facility		$979.34	$1,373.31	$1,630.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $987.07 / $1,413.71 / $2,272.03	Professional		$987.07	$1,413.71	$2,272.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $1,239.46 / $1,303.80	Facility		$1,239.46	$1,239.46	$1,303.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.41 / $1,414.12 / $2,107.06	Professional		$998.41	$1,414.12	$2,107.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $842.22 / $1,133.75 / $3,000.00	Professional		$842.22	$1,133.75	$3,000.00
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 $1,007.93 / $1,712.12 / $2,305.69	Professional		$1,007.93	$1,712.12	$2,305.69