Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,175.92 / $8,229.00	Facility		$860.00	$1,175.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.37 / $1,088.47 / $1,396.64	Professional		$946.37	$1,088.47	$1,396.64
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 $748.66 / $887.93 / $1,454.64	Professional		$748.66	$887.93	$1,454.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $924.29 / $1,260.57 / $1,454.17	Facility		$924.29	$1,260.57	$1,454.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $900.41 / $1,260.57 / $2,025.92	Professional		$900.41	$1,260.57	$2,025.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.48 / $1,108.48 / $1,403.23	Facility		$1,108.48	$1,108.48	$1,403.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.72 / $1,397.22 / $2,342.25	Professional		$1,016.72	$1,397.22	$2,342.25
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 $875.76 / $1,429.71 / $2,072.79	Professional		$875.76	$1,429.71	$2,072.79