Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.97 / $1,156.18 / $8,229.00	Facility		$746.97	$1,156.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.97 / $870.34 / $1,156.18	Professional		$746.97	$870.34	$1,156.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.78 / $866.65 / $1,303.14	Professional		$696.78	$866.65	$1,303.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.10 / $1,160.50 / $1,338.72	Facility		$806.10	$1,160.50	$1,338.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $911.82 / $1,160.50 / $1,657.86	Professional		$911.82	$1,160.50	$1,657.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,138.47	Facility		$1,018.12	$1,018.12	$1,138.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.47 / $1,217.72 / $1,853.24	Professional		$869.47	$1,217.72	$1,853.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,077.60	Professional		$32.34	$32.34	$1,077.60
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 $827.24 / $1,113.55 / $1,679.12	Professional		$827.24	$1,113.55	$1,679.12