Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.52 / $1,154.51 / $8,229.00	Facility		$856.52	$1,154.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.52 / $978.11 / $1,287.01	Professional		$856.52	$978.11	$1,287.01
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 $787.61 / $954.40 / $1,372.30	Professional		$787.61	$954.40	$1,372.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.15 / $1,140.99 / $1,316.21	Facility		$837.15	$1,140.99	$1,316.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $895.87 / $1,140.99 / $1,629.98	Professional		$895.87	$1,140.99	$1,629.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.54 / $1,000.54 / $1,377.68	Facility		$1,000.54	$1,000.54	$1,377.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.33 / $1,242.15 / $1,936.23	Professional		$1,010.33	$1,242.15	$1,936.23
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 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.58 / $1,243.68 / $1,831.92	Professional		$862.58	$1,243.68	$1,831.92