Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.60 / $1,245.09 / $8,229.00	Facility		$716.60	$1,245.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.60 / $828.43 / $1,092.64	Professional		$716.60	$828.43	$1,092.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.89 / $755.41 / $1,143.70	Professional		$636.89	$755.41	$1,143.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.49 / $1,091.84 / $1,259.53	Facility		$795.49	$1,091.84	$1,259.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $779.89 / $1,091.84 / $1,559.78	Professional		$779.89	$1,091.84	$1,559.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $976.05 / $976.05 / $1,003.22	Facility		$976.05	$976.05	$1,003.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.74 / $1,117.49 / $1,660.99	Professional		$803.74	$1,117.49	$1,660.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,013.86	Professional		$32.34	$32.34	$1,013.86
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.91 / $1,009.02 / $1,541.58	Professional		$712.91	$1,009.02	$1,541.58