Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.01 / $1,469.20 / $8,229.00	Facility		$833.01	$1,469.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.01 / $968.20 / $1,469.20	Professional		$833.01	$968.20	$1,469.20
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 $865.33 / $1,048.58 / $1,478.33	Professional		$865.33	$1,048.58	$1,478.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $895.86 / $1,291.64 / $1,490.00	Facility		$895.86	$1,291.64	$1,490.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $901.84 / $1,291.64 / $1,845.20	Professional		$901.84	$1,291.64	$1,845.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $1,130.83 / $1,446.69	Facility		$1,130.83	$1,130.83	$1,446.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.16 / $1,436.81 / $2,077.03	Professional		$991.16	$1,436.81	$2,077.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,199.38	Professional		$32.34	$32.34	$1,199.38
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 $967.81 / $1,374.29 / $1,983.72	Professional		$967.81	$1,374.29	$1,983.72