Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.14 / $1,197.19 / $8,229.00	Facility		$690.14	$1,197.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.52 / $795.37 / $1,193.42	Professional		$651.52	$795.37	$1,193.42
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 $647.07 / $784.11 / $1,165.20	Professional		$647.07	$784.11	$1,165.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.65 / $1,045.07 / $1,205.57	Facility		$738.65	$1,045.07	$1,205.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $823.44 / $1,045.07 / $1,492.96	Professional		$823.44	$1,045.07	$1,492.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.74 / $941.74 / $1,175.13	Facility		$941.74	$941.74	$1,175.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.66 / $1,142.20 / $1,652.63	Professional		$776.66	$1,142.20	$1,652.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $970.42	Professional		$32.34	$32.34	$970.42
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 $742.76 / $1,033.08 / $1,502.80	Professional		$742.76	$1,033.08	$1,502.80