Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,102.65 / $8,229.00	Facility		$787.00	$1,102.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.25 / $800.99 / $993.63	Professional		$773.25	$800.99	$993.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.74 / $900.03 / $1,427.80	Professional		$742.74	$900.03	$1,427.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.53 / $1,088.83 / $1,256.05	Facility		$799.53	$1,088.83	$1,256.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $855.50 / $1,088.83 / $1,749.92	Professional		$855.50	$1,088.83	$1,749.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $956.99 / $956.99 / $1,315.79	Facility		$956.99	$956.99	$1,315.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,196.80 / $1,834.94	Professional		$879.48	$1,196.80	$1,834.94
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.17 / $1,156.74 / $1,644.31	Professional		$760.17	$1,156.74	$1,644.31