Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,268.38 / $8,229.00	Facility		$860.00	$1,268.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.38 / $1,100.38 / $1,410.63	Professional		$956.38	$1,100.38	$1,410.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.30 / $1,002.50 / $1,378.84	Professional		$827.30	$1,002.50	$1,378.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.90 / $1,272.25 / $1,467.64	Facility		$932.90	$1,272.25	$1,467.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $998.20 / $1,272.25 / $2,044.69	Professional		$998.20	$1,272.25	$2,044.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.04 / $1,118.04 / $1,513.57	Facility		$1,118.04	$1,118.04	$1,513.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,408.60 / $2,249.04	Professional		$1,071.00	$1,408.60	$2,249.04
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.74 / $1,455.81 / $2,066.07	Professional		$984.74	$1,455.81	$2,066.07