Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.84 / $1,046.83 / $8,229.00	Facility		$805.84	$1,046.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.84 / $925.89 / $1,193.01	Professional		$805.84	$925.89	$1,193.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.29 / $947.24 / $1,321.89	Professional		$773.29	$947.24	$1,321.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.37 / $1,074.88 / $1,239.94	Facility		$788.37	$1,074.88	$1,239.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $767.77 / $1,074.88 / $1,535.54	Professional		$767.77	$1,074.88	$1,535.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.38 / $945.38 / $1,249.20	Facility		$945.38	$945.38	$1,249.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.67 / $1,185.85 / $2,007.43	Professional		$950.67	$1,185.85	$2,007.43
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 $829.36 / $1,266.96 / $1,764.20	Professional		$829.36	$1,266.96	$1,764.20