Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.16 / $1,329.61 / $8,229.00	Facility		$733.16	$1,329.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.16 / $850.93 / $1,329.61	Professional		$733.16	$850.93	$1,329.61
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 $753.50 / $913.07 / $1,368.50	Professional		$753.50	$913.07	$1,368.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.49 / $1,133.15 / $1,413.51	Facility		$784.49	$1,133.15	$1,413.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.94 / $1,133.15 / $1,618.78	Professional		$889.94	$1,133.15	$1,618.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $1,309.25	Facility		$993.62	$993.62	$1,309.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.63 / $1,293.24 / $1,854.35	Professional		$870.63	$1,293.24	$1,854.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,052.21	Professional		$32.34	$32.34	$1,052.21
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.61 / $1,152.52 / $1,692.72	Professional		$852.61	$1,152.52	$1,692.72