Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.71 / $1,341.16 / $8,229.00	Facility		$797.71	$1,341.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.71 / $927.56 / $1,341.16	Professional		$797.71	$927.56	$1,341.16
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 $780.89 / $946.26 / $1,426.72	Professional		$780.89	$946.26	$1,426.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $858.48 / $1,237.31 / $1,427.32	Facility		$858.48	$1,237.31	$1,427.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $863.90 / $1,237.31 / $1,767.58	Professional		$863.90	$1,237.31	$1,767.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,083.97 / $1,083.97 / $1,320.61	Facility		$1,083.97	$1,083.97	$1,320.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.21 / $1,398.43 / $2,067.00	Professional		$902.21	$1,398.43	$2,067.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,148.93	Professional		$32.34	$32.34	$1,148.93
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 $958.86 / $1,319.91 / $1,796.00	Professional		$958.86	$1,319.91	$1,796.00