Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,303.82 / $8,229.00	Facility		$637.00	$1,303.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.82 / $1,077.96 / $1,309.17	Professional		$953.82	$1,077.96	$1,309.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.80 / $1,066.11 / $1,472.21	Professional		$879.80	$1,066.11	$1,472.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $921.72 / $1,265.95 / $1,460.36	Facility		$921.72	$1,265.95	$1,460.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.24 / $1,265.95 / $1,808.50	Professional		$986.24	$1,265.95	$1,808.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.20 / $1,113.20 / $1,113.20	Facility		$1,113.20	$1,113.20	$1,113.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.75 / $1,497.83 / $5,813.69	Professional		$1,174.75	$1,497.83	$5,813.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $942.24 / $1,060.02	Professional		$785.20	$942.24	$1,060.02
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $33,501.00	Facility		$599.00	$4,298.00	$33,501.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.83 / $1,383.46 / $2,037.81	Professional		$948.83	$1,383.46	$2,037.81