Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.58 / $1,030.20 / $8,229.00	Facility		$750.58	$1,030.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.58 / $859.00 / $1,117.56	Professional		$750.58	$859.00	$1,117.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $16,225.70 / $48,983.60	Facility		$5,350.00	$16,225.70	$48,983.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $612.36 / $777.83	Professional		$505.35	$612.36	$777.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $728.55 / $994.27 / $1,146.95	Facility		$728.55	$994.27	$1,146.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $694.21 / $994.27 / $1,420.38	Professional		$694.21	$994.27	$1,420.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.74 / $876.74 / $876.74	Facility		$876.74	$876.74	$876.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.41 / $1,077.58 / $1,977.97	Professional		$801.41	$1,077.58	$1,977.97
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 $776.90 / $1,211.24 / $1,627.88	Professional		$776.90	$1,211.24	$1,627.88