Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.26 / $1,243.00 / $13,304.00	Facility		$749.26	$1,243.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.25 / $775.77 / $956.98	Professional		$710.25	$775.77	$956.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.04 / $754.98 / $1,107.70	Professional		$623.04	$754.98	$1,107.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $1,008.88 / $1,163.83	Facility		$735.05	$1,008.88	$1,163.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $704.42 / $1,008.88 / $1,441.26	Professional		$704.42	$1,008.88	$1,441.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $885.05 / $885.05 / $885.05	Facility		$885.05	$885.05	$885.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.45 / $1,004.11 / $1,491.32	Professional		$751.45	$1,004.11	$1,491.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $792.69	Professional		$32.34	$32.34	$792.69
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 $710.22 / $956.07 / $1,506.23	Professional		$710.22	$956.07	$1,506.23