Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.73 / $1,170.92 / $8,229.00	Facility		$802.73	$1,170.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.73 / $932.60 / $1,205.18	Professional		$802.73	$932.60	$1,205.18
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 $768.01 / $927.27 / $1,397.16	Professional		$768.01	$927.27	$1,397.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $862.35 / $1,241.74 / $1,432.45	Facility		$862.35	$1,241.74	$1,432.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $1,241.74 / $1,773.92	Professional		$867.00	$1,241.74	$1,773.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $1,089.18 / $1,152.99	Facility		$1,089.18	$1,089.18	$1,152.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.69 / $1,277.51 / $1,908.00	Professional		$923.69	$1,277.51	$1,908.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,153.05	Professional		$32.34	$32.34	$1,153.05
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 $888.50 / $1,207.97 / $1,794.55	Professional		$888.50	$1,207.97	$1,794.55