Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.96 / $1,047.55 / $8,229.00	Facility		$665.96	$1,047.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.96 / $775.97 / $961.04	Professional		$665.96	$775.97	$961.04
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 $627.00 / $764.42 / $1,134.70	Professional		$627.00	$764.42	$1,134.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.02 / $1,035.50 / $1,194.51	Facility		$720.02	$1,035.50	$1,194.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $739.64 / $1,035.50 / $1,479.28	Professional		$739.64	$1,035.50	$1,479.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $909.88 / $946.32	Facility		$909.88	$909.88	$946.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.28 / $1,069.34 / $1,549.97	Professional		$769.28	$1,069.34	$1,549.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $961.53	Professional		$32.34	$32.34	$961.53
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 $703.02 / $983.11 / $1,491.60	Professional		$703.02	$983.11	$1,491.60