Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.21 / $1,016.93 / $8,229.00	Facility		$806.21	$1,016.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.21 / $936.58 / $1,217.03	Professional		$806.21	$936.58	$1,217.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $26,311.85 / $79,432.60	Facility		$6,559.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.10 / $911.00 / $1,377.65	Professional		$724.10	$911.00	$1,377.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $866.82 / $1,250.31 / $1,442.33	Facility		$866.82	$1,250.31	$1,442.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $982.28 / $1,250.31 / $1,786.16	Professional		$982.28	$1,250.31	$1,786.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,198.39	Facility		$1,094.01	$1,094.01	$1,198.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.19 / $1,285.23 / $1,858.57	Professional		$911.19	$1,285.23	$1,858.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,161.00	Professional		$32.34	$32.34	$1,161.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $16,855.00	Facility		$1,168.00	$6,186.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.47 / $1,171.03 / $1,819.40	Professional		$854.47	$1,171.03	$1,819.40