Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,001.21 / $8,229.00	Facility		$637.00	$1,001.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.19 / $1,001.21 / $1,208.34	Professional		$947.19	$1,001.21	$1,208.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $723.31 / $1,265.89	Professional		$596.90	$723.31	$1,265.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.07 / $1,325.20 / $1,528.70	Facility		$977.07	$1,325.20	$1,528.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,041.23 / $1,325.20 / $1,893.14	Professional		$1,041.23	$1,325.20	$1,893.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.90 / $1,207.94 / $1,207.94	Facility		$662.90	$1,207.94	$1,207.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.69 / $1,131.43 / $1,929.29	Professional		$884.69	$1,131.43	$1,929.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.35 / $1,150.44 / $1,925.69	Professional		$858.35	$1,150.44	$1,925.69