Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,178.04 / $10,152.00	Facility		$896.00	$1,178.04	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.69 / $947.22 / $1,186.66	Professional		$885.69	$947.22	$1,186.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.49 / $802.78 / $1,310.20	Professional		$662.49	$802.78	$1,310.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.56 / $1,237.43 / $1,427.47	Facility		$901.56	$1,237.43	$1,427.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $863.99 / $1,237.43 / $1,767.76	Professional		$863.99	$1,237.43	$1,767.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,084.92 / $1,084.92	Facility		$1,084.92	$1,084.92	$1,084.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.03 / $1,194.00 / $1,774.07	Professional		$873.03	$1,194.00	$1,774.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $972.27	Professional		$32.34	$32.34	$972.27
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.04 / $1,177.71 / $1,878.68	Professional		$853.04	$1,177.71	$1,878.68