Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.90 / $1,122.55 / $8,229.00	Facility		$855.90	$1,122.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,149.58 / $1,433.75	Professional		$855.90	$1,149.58	$1,433.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.98 / $1,011.00 / $1,502.57	Professional		$844.98	$1,011.00	$1,502.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.80 / $1,428.55 / $1,647.93	Facility		$1,040.80	$1,428.55	$1,647.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $997.43 / $1,428.55 / $2,040.78	Professional		$997.43	$1,428.55	$2,040.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $1,324.14 / $1,324.14	Facility		$1,324.14	$1,324.14	$1,324.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.52 / $1,439.35 / $5,536.35	Professional		$961.52	$1,439.35	$5,536.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $65.00	Professional		$45.00	$45.00	$65.00
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 $983.79 / $1,418.23 / $2,113.27	Professional		$983.79	$1,418.23	$2,113.27