Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.10 / $1,237.00 / $8,380.00	Facility		$829.10	$1,237.00	$8,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.10 / $964.26 / $1,237.00	Professional		$829.10	$964.26	$1,237.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.19 / $981.63 / $1,399.14	Professional		$820.19	$981.63	$1,399.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.67 / $1,287.27 / $1,484.96	Facility		$892.67	$1,287.27	$1,484.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,011.37 / $1,287.27 / $1,838.96	Professional		$1,011.37	$1,287.27	$1,838.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,126.75 / $8,380.00	Facility		$1,126.75	$1,126.75	$8,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.54 / $1,334.41 / $2,029.51	Professional		$980.54	$1,334.41	$2,029.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,195.32	Professional		$32.34	$32.34	$1,195.32
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 $901.56 / $1,298.55 / $1,958.34	Professional		$901.56	$1,298.55	$1,958.34