Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,077.57 / $9,311.00	Facility		$860.00	$1,077.57	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.94 / $1,031.49 / $1,198.97	Professional		$972.94	$1,031.49	$1,198.97
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 $740.60 / $897.44 / $1,454.44	Professional		$740.60	$897.44	$1,454.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $999.20 / $1,371.45 / $1,582.07	Facility		$999.20	$1,371.45	$1,582.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.11 / $1,371.45 / $1,959.22	Professional		$1,077.11	$1,371.45	$1,959.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.90 / $1,226.58 / $1,226.58	Facility		$934.90	$1,226.58	$1,226.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.06 / $1,327.67 / $2,122.91	Professional		$987.06	$1,327.67	$2,122.91
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 $901.33 / $1,309.58 / $1,856.14	Professional		$901.33	$1,309.58	$1,856.14