Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.73 / $1,421.15 / $10,152.00	Facility		$839.73	$1,421.15	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.73 / $948.80 / $1,189.50	Professional		$839.73	$948.80	$1,189.50
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 $655.86 / $834.96 / $1,307.63	Professional		$655.86	$834.96	$1,307.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.80 / $1,243.24 / $1,434.18	Facility		$905.80	$1,243.24	$1,434.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.05 / $1,243.24 / $1,776.06	Professional		$868.05	$1,243.24	$1,776.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $1,110.75 / $1,110.75	Facility		$1,110.75	$1,110.75	$1,110.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.74 / $1,181.89 / $1,801.84	Professional		$860.74	$1,181.89	$1,801.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $976.83	Professional		$32.34	$32.34	$976.83
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 $845.91 / $1,171.00 / $1,836.43	Professional		$845.91	$1,171.00	$1,836.43