Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.02 / $1,163.19 / $8,229.00	Facility		$785.02	$1,163.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.02 / $912.64 / $1,163.19	Professional		$785.02	$912.64	$1,163.19
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 $746.34 / $908.93 / $1,384.60	Professional		$746.34	$908.93	$1,384.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $844.84 / $1,217.51 / $1,404.48	Facility		$844.84	$1,217.51	$1,404.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $956.62 / $1,217.51 / $1,739.30	Professional		$956.62	$1,217.51	$1,739.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.85 / $1,066.85 / $1,145.36	Facility		$1,066.85	$1,066.85	$1,145.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.66 / $1,251.83 / $1,894.14	Professional		$887.66	$1,251.83	$1,894.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,130.55	Professional		$32.34	$32.34	$1,130.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.95 / $1,136.16 / $1,772.40	Professional		$849.95	$1,136.16	$1,772.40