Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.25 / $1,115.86 / $8,229.00	Facility		$749.25	$1,115.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.25 / $872.21 / $1,123.31	Professional		$749.25	$872.21	$1,123.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.70 / $884.51 / $1,327.45	Professional		$713.70	$884.51	$1,327.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $807.28 / $1,163.65 / $1,342.35	Facility		$807.28	$1,163.65	$1,342.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.18 / $1,163.65 / $1,662.36	Professional		$831.18	$1,163.65	$1,662.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.60 / $956.00 / $1,048.16	Professional		$812.60	$956.00	$1,048.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,080.53	Professional		$32.34	$32.34	$1,080.53
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.64 / $1,184.35 / $1,712.18	Professional		$811.64	$1,184.35	$1,712.18