Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.40 / $1,189.71 / $13,304.00	Facility		$784.40	$1,189.71	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.15 / $784.40 / $924.75	Professional		$730.15	$784.40	$924.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.94 / $779.10 / $1,125.86	Professional		$642.94	$779.10	$1,125.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.19 / $1,053.84 / $1,215.70	Facility		$774.19	$1,053.84	$1,215.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.81 / $1,053.84 / $1,505.50	Professional		$735.81	$1,053.84	$1,505.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.73 / $930.34 / $930.34	Facility		$871.73	$930.34	$930.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.00 / $987.08 / $1,603.30	Professional		$772.00	$987.08	$1,603.30
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 $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 $715.31 / $990.26 / $1,500.76	Professional		$715.31	$990.26	$1,500.76