Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,000.56 / $8,229.00	Facility		$860.00	$1,000.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.93 / $935.43 / $1,104.17	Professional		$904.93	$935.43	$1,104.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,099.00 / $25,200.51	Facility		$6,153.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.31 / $1,015.84 / $1,501.30	Professional		$838.31	$1,015.84	$1,501.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.79 / $1,273.44 / $1,469.00	Facility		$927.79	$1,273.44	$1,469.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.13 / $1,273.44 / $1,819.20	Professional		$889.13	$1,273.44	$1,819.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.05 / $1,118.05 / $1,317.61	Facility		$1,118.05	$1,118.05	$1,317.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.94 / $1,355.64 / $2,120.23	Professional		$979.94	$1,355.64	$2,120.23
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.07 / $1,286.42 / $1,871.34	Professional		$873.07	$1,286.42	$1,871.34