Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,133.08 / $8,229.00	Facility		$860.00	$1,133.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.44 / $966.83 / $1,152.54	Professional		$936.44	$966.83	$1,152.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.49 / $1,025.76 / $1,390.70	Professional		$846.49	$1,025.76	$1,390.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.03 / $1,230.34 / $1,419.30	Facility		$897.03	$1,230.34	$1,419.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $992.74 / $1,230.34 / $1,757.64	Professional		$992.74	$1,230.34	$1,757.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.07 / $1,078.61 / $1,078.61	Facility		$954.07	$1,078.61	$1,078.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.08 / $1,333.59 / $2,043.31	Professional		$919.08	$1,333.59	$2,043.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.98 / $1,298.97 / $1,859.64	Professional		$865.98	$1,298.97	$1,859.64