Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.45 / $1,051.56 / $8,229.00	Facility		$996.45	$1,051.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.79 / $1,023.00 / $1,272.70	Professional		$940.79	$1,023.00	$1,272.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.94 / $897.85 / $1,400.08	Professional		$740.94	$897.85	$1,400.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $975.08 / $1,338.34 / $1,543.88	Facility		$975.08	$1,338.34	$1,543.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.46 / $1,338.34 / $1,911.92	Professional		$1,047.46	$1,338.34	$1,911.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.30 / $1,175.30 / $1,175.30	Facility		$1,175.30	$1,175.30	$1,175.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.39 / $1,269.66 / $2,043.09	Professional		$937.39	$1,269.66	$2,043.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,051.56	Professional		$32.34	$32.34	$1,051.56
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.16 / $1,226.92 / $2,002.70	Professional		$922.16	$1,226.92	$2,002.70