Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,131.56 / $8,229.00	Facility		$787.00	$1,131.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.71 / $790.09 / $1,019.02	Professional		$745.71	$790.09	$1,019.02
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 $683.86 / $828.69 / $1,287.59	Professional		$683.86	$828.69	$1,287.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.35 / $1,063.58 / $1,226.93	Facility		$779.35	$1,063.58	$1,226.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $742.62 / $1,063.58 / $1,519.42	Professional		$742.62	$1,063.58	$1,519.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.51 / $937.51 / $1,142.98	Facility		$937.51	$937.51	$1,142.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.88 / $1,118.28 / $1,747.27	Professional		$801.88	$1,118.28	$1,747.27
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 $707.71 / $1,018.37 / $1,564.26	Professional		$707.71	$1,018.37	$1,564.26