Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $1,677.36 / $8,229.00	Facility		$370.00	$1,677.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.59 / $1,524.25 / $2,302.26	Professional		$356.59	$1,524.25	$2,302.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $3,614.00 / $8,509.00	Facility		$2,315.00	$3,614.00	$8,509.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.13 / $1,203.34 / $1,768.29	Professional		$287.13	$1,203.34	$1,768.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.09 / $470.90 / $543.23	Facility		$343.09	$470.90	$543.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.01 / $491.24 / $2,251.26	Professional		$367.01	$491.24	$2,251.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.90 / $618.90 / $618.90	Facility		$618.90	$618.90	$618.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.13 / $1,677.60 / $3,182.25	Professional		$415.13	$1,677.60	$3,182.25
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 $973.00 / $4,639.00 / $15,075.00	Facility		$973.00	$4,639.00	$15,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,837.60 / $2,530.86 / $3,518.38	Professional		$1,837.60	$2,530.86	$3,518.38