Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.30 / $1,191.61 / $8,229.00	Facility		$811.30	$1,191.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.30 / $943.54 / $1,191.61	Professional		$811.30	$943.54	$1,191.61
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 $743.70 / $932.68 / $1,368.50	Professional		$743.70	$932.68	$1,368.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.90 / $1,257.61 / $1,450.76	Facility		$872.90	$1,257.61	$1,450.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.30 / $1,257.61 / $1,796.60	Professional		$898.30	$1,257.61	$1,796.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.82 / $1,101.82 / $1,173.35	Facility		$1,101.82	$1,101.82	$1,173.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.20 / $1,306.85 / $1,866.47	Professional		$947.20	$1,306.85	$1,866.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,167.79	Professional		$32.34	$32.34	$1,167.79
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 $844.11 / $1,205.86 / $1,829.03	Professional		$844.11	$1,205.86	$1,829.03