Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.13 / $1,304.33 / $8,229.00	Facility		$865.13	$1,304.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.13 / $1,006.30 / $1,304.33	Professional		$865.13	$1,006.30	$1,304.33
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 $797.39 / $998.87 / $1,494.27	Professional		$797.39	$998.87	$1,494.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $930.92 / $1,341.48 / $1,547.49	Facility		$930.92	$1,341.48	$1,547.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $958.20 / $1,341.48 / $1,916.40	Professional		$958.20	$1,341.48	$1,916.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $1,284.34	Facility		$1,175.09	$1,175.09	$1,284.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.33 / $1,420.68 / $2,114.14	Professional		$1,014.33	$1,420.68	$2,114.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,245.66	Professional		$32.34	$32.34	$1,245.66
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 $938.49 / $1,302.31 / $1,970.97	Professional		$938.49	$1,302.31	$1,970.97