Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,293.83 / $8,229.00	Facility		$860.00	$1,293.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.65 / $1,079.98 / $1,397.74	Professional		$942.65	$1,079.98	$1,397.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.80 / $939.77 / $1,301.94	Professional		$798.80	$939.77	$1,301.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $913.17 / $1,246.78 / $1,438.26	Facility		$913.17	$1,246.78	$1,438.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.52 / $1,246.78 / $1,781.12	Professional		$870.52	$1,246.78	$1,781.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.67 / $1,096.67 / $1,096.67	Facility		$1,096.67	$1,096.67	$1,096.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.48 / $1,412.07 / $2,557.46	Professional		$1,004.48	$1,412.07	$2,557.46
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 $1,003.68 / $1,573.77 / $2,049.73	Professional		$1,003.68	$1,573.77	$2,049.73