Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $990.10 / $10,152.00	Facility		$896.00	$990.10	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.04 / $949.77 / $1,104.33	Professional		$896.04	$949.77	$1,104.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.62 / $898.68 / $1,317.88	Professional		$741.62	$898.68	$1,317.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $918.10 / $1,260.13 / $1,453.65	Facility		$918.10	$1,260.13	$1,453.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,035.09 / $1,260.13 / $1,800.18	Professional		$1,035.09	$1,260.13	$1,800.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.36 / $1,128.52 / $1,128.52	Facility		$936.36	$1,128.52	$1,128.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.28 / $1,183.58 / $1,956.96	Professional		$933.28	$1,183.58	$1,956.96
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 $828.24 / $1,215.44 / $1,704.89	Professional		$828.24	$1,215.44	$1,704.89