Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.61 / $1,029.47 / $8,229.00	Facility		$770.61	$1,029.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.61 / $896.40 / $1,044.45	Professional		$770.61	$896.40	$1,044.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.53 / $869.57 / $1,241.59	Professional		$713.53	$869.57	$1,241.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $830.02 / $1,195.46 / $1,379.06	Facility		$830.02	$1,195.46	$1,379.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $939.29 / $1,195.46 / $1,707.80	Professional		$939.29	$1,195.46	$1,707.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.70 / $1,048.25 / $1,048.25	Facility		$1,013.70	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.19 / $1,229.27 / $1,692.58	Professional		$897.19	$1,229.27	$1,692.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,110.07	Professional		$32.34	$32.34	$1,110.07
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 $834.24 / $1,204.35 / $1,729.82	Professional		$834.24	$1,204.35	$1,729.82