Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.46 / $1,025.92 / $8,229.00	Facility		$747.46	$1,025.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.46 / $856.13 / $1,109.02	Professional		$747.46	$856.13	$1,109.02
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 $643.05 / $766.38 / $988.54	Professional		$643.05	$766.38	$988.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.79 / $989.49 / $1,141.44	Facility		$724.79	$989.49	$1,141.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $690.88 / $989.49 / $1,413.56	Professional		$690.88	$989.49	$1,413.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.27 / $1,094.86 / $1,971.46	Professional		$797.27	$1,094.86	$1,971.46
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 $771.12 / $1,212.92 / $1,597.70	Professional		$771.12	$1,212.92	$1,597.70