Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.47 / $1,078.18 / $8,229.00	Facility		$808.47	$1,078.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.47 / $922.58 / $1,217.74	Professional		$808.47	$922.58	$1,217.74
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 $747.54 / $902.45 / $1,270.84	Professional		$747.54	$902.45	$1,270.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.44 / $1,076.68 / $1,242.03	Facility		$784.44	$1,076.68	$1,242.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.06 / $1,076.68 / $1,538.12	Professional		$769.06	$1,076.68	$1,538.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.54 / $944.54 / $1,286.59	Facility		$944.54	$944.54	$1,286.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.87 / $1,177.75 / $1,824.20	Professional		$951.87	$1,177.75	$1,824.20
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 $852.72 / $1,147.13 / $1,640.48	Professional		$852.72	$1,147.13	$1,640.48