Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.54 / $1,017.69 / $8,229.00	Facility		$753.54	$1,017.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.54 / $859.77 / $1,136.07	Professional		$753.54	$859.77	$1,136.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.28 / $826.77 / $1,186.08	Professional		$682.28	$826.77	$1,186.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $737.05 / $1,004.18 / $1,158.39	Facility		$737.05	$1,004.18	$1,158.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $791.66 / $1,004.18 / $1,434.54	Professional		$791.66	$1,004.18	$1,434.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.48 / $879.48 / $1,214.42	Facility		$879.48	$879.48	$1,214.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.79 / $1,076.13 / $1,709.43	Professional		$884.79	$1,076.13	$1,709.43
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 $773.13 / $1,088.53 / $1,527.76	Professional		$773.13	$1,088.53	$1,527.76