Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,142.20 / $8,229.00	Facility		$787.00	$1,142.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.05 / $952.94 / $1,142.20	Professional		$899.05	$952.94	$1,142.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.94 / $992.36 / $1,343.87	Professional		$818.94	$992.36	$1,343.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.06 / $1,283.42 / $1,480.52	Facility		$935.06	$1,283.42	$1,480.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,054.24 / $1,283.42 / $1,833.46	Professional		$1,054.24	$1,283.42	$1,833.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $1,139.02 / $1,153.72	Facility		$1,139.02	$1,139.02	$1,153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.88 / $1,281.22 / $2,100.34	Professional		$968.88	$1,281.22	$2,100.34
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 $839.32 / $1,256.69 / $1,848.61	Professional		$839.32	$1,256.69	$1,848.61