Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.46 / $1,100.52 / $8,229.00	Facility		$727.46	$1,100.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.46 / $846.93 / $1,100.52	Professional		$727.46	$846.93	$1,100.52
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 $674.05 / $835.96 / $1,260.59	Professional		$674.05	$835.96	$1,260.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.52 / $1,128.65 / $1,301.98	Facility		$784.52	$1,128.65	$1,301.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $788.04 / $1,128.65 / $1,612.36	Professional		$788.04	$1,128.65	$1,612.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $1,083.66	Facility		$990.60	$990.60	$1,083.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.58 / $1,168.81 / $1,802.25	Professional		$846.58	$1,168.81	$1,802.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,048.03	Professional		$32.34	$32.34	$1,048.03
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 $786.84 / $1,123.35 / $1,764.92	Professional		$786.84	$1,123.35	$1,764.92