Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.58 / $1,654.00 / $9,311.00	Facility		$786.58	$1,654.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.90 / $809.39 / $1,004.64	Professional		$755.90	$809.39	$1,004.64
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 $713.10 / $864.12 / $1,171.69	Professional		$713.10	$864.12	$1,171.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $762.14 / $1,046.08 / $1,206.73	Facility		$762.14	$1,046.08	$1,206.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $730.39 / $1,046.08 / $1,494.40	Professional		$730.39	$1,046.08	$1,494.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.12 / $924.12 / $924.12	Facility		$924.12	$924.12	$924.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.41 / $1,051.56 / $1,650.49	Professional		$789.41	$1,051.56	$1,650.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $821.92	Professional		$32.34	$32.34	$821.92
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 $755.72 / $1,045.52 / $1,617.86	Professional		$755.72	$1,045.52	$1,617.86