Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,133.70 / $8,229.00	Facility		$787.00	$1,133.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.01 / $1,065.23 / $1,448.00	Professional		$834.01	$1,065.23	$1,448.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $888.90 / $1,419.12	Professional		$645.65	$888.90	$1,419.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.56 / $1,123.51 / $1,296.05	Facility		$818.56	$1,123.51	$1,296.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $922.89 / $1,163.64 / $1,805.65	Professional		$922.89	$1,163.64	$1,805.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.48 / $1,476.62 / $1,476.62	Facility		$895.48	$1,476.62	$1,476.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.54 / $1,222.18 / $2,042.01	Professional		$901.54	$1,222.18	$2,042.01
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.54 / $1,393.49 / $2,228.55	Professional		$1,023.54	$1,393.49	$2,228.55