Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.65 / $1,032.76 / $8,229.00	Facility		$682.65	$1,032.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.65 / $795.10 / $1,032.76	Professional		$682.65	$795.10	$1,032.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.70 / $796.17 / $1,158.03	Professional		$647.70	$796.17	$1,158.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $736.42 / $1,060.23 / $1,223.05	Facility		$736.42	$1,060.23	$1,223.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.04 / $1,060.23 / $1,514.62	Professional		$833.04	$1,060.23	$1,514.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.96 / $929.96 / $1,016.94	Facility		$929.96	$929.96	$1,016.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.31 / $1,090.23 / $1,673.91	Professional		$799.31	$1,090.23	$1,673.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $984.50	Professional		$32.34	$32.34	$984.50
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,966.00	Facility		$842.00	$4,539.00	$10,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.66 / $1,042.58 / $1,549.37	Professional		$730.66	$1,042.58	$1,549.37