Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,199.72 / $8,229.00	Facility		$860.00	$1,199.72	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.18 / $1,072.45 / $1,374.45	Professional		$932.18	$1,072.45	$1,374.45
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 $746.25 / $884.17 / $1,418.55	Professional		$746.25	$884.17	$1,418.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $908.74 / $1,239.49 / $1,429.85	Facility		$908.74	$1,239.49	$1,429.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $865.43 / $1,239.49 / $1,770.70	Professional		$865.43	$1,239.49	$1,770.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.58 / $1,090.58 / $1,431.63	Facility		$1,090.58	$1,090.58	$1,431.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.62 / $1,409.31 / $2,288.77	Professional		$999.62	$1,409.31	$2,288.77
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.64 / $1,603.45 / $2,015.35	Professional		$959.64	$1,603.45	$2,015.35