Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.78 / $1,093.63 / $8,229.00	Facility		$796.78	$1,093.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.78 / $912.58 / $1,182.24	Professional		$796.78	$912.58	$1,182.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.40 / $760.48 / $956.89	Professional		$646.40	$760.48	$956.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.11 / $1,054.19 / $1,216.08	Facility		$772.11	$1,054.19	$1,216.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.05 / $1,054.19 / $1,505.98	Professional		$736.05	$1,054.19	$1,505.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.49 / $927.49 / $927.49	Facility		$927.49	$927.49	$927.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.32 / $1,192.01 / $2,248.06	Professional		$849.32	$1,192.01	$2,248.06
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 $883.33 / $1,348.95 / $1,732.39	Professional		$883.33	$1,348.95	$1,732.39