Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,003.29 / $8,229.00	Facility		$637.00	$1,003.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.56 / $1,087.30 / $1,219.19	Professional		$954.56	$1,087.30	$1,219.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.85 / $858.07 / $1,246.90	Professional		$720.85	$858.07	$1,246.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.34 / $1,142.57 / $1,333.91	Facility		$938.34	$1,142.57	$1,333.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,011.02 / $1,287.92 / $1,839.88	Professional		$1,011.02	$1,287.92	$1,839.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.41 / $1,127.85 / $1,127.85	Facility		$1,013.41	$1,127.85	$1,127.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.41 / $1,080.73 / $1,699.17	Professional		$918.41	$1,080.73	$1,699.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,195.92	Professional		$32.34	$32.34	$1,195.92
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $2,444.00 / $10,069.00	Facility		$842.00	$2,444.00	$10,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.46 / $1,070.50 / $1,655.27	Professional		$822.46	$1,070.50	$1,655.27