Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,091.64 / $9,311.00	Facility		$860.00	$1,091.64	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.01 / $975.80 / $1,009.81	Professional		$875.01	$975.80	$1,009.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.91 / $981.43 / $1,397.60	Professional		$809.91	$981.43	$1,397.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.33 / $1,328.87 / $1,532.94	Facility		$977.33	$1,328.87	$1,532.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,091.57 / $1,328.87 / $1,898.38	Professional		$1,091.57	$1,328.87	$1,898.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.25 / $1,165.20 / $1,165.20	Facility		$1,041.25	$1,165.20	$1,165.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,331.20 / $2,052.10	Professional		$1,031.58	$1,331.20	$2,052.10
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 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.16 / $1,231.46 / $1,972.02	Professional		$853.16	$1,231.46	$1,972.02