Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,184.58 / $8,229.00	Facility		$860.00	$1,184.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.70 / $1,000.72 / $1,192.25	Professional		$968.70	$1,000.72	$1,192.25
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 $885.53 / $1,073.06 / $1,430.40	Professional		$885.53	$1,073.06	$1,430.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.01 / $1,272.35 / $1,467.77	Facility		$927.01	$1,272.35	$1,467.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,272.35 / $1,817.66	Professional		$1,045.15	$1,272.35	$1,817.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $997.43 / $1,116.06 / $1,116.06	Facility		$997.43	$1,116.06	$1,116.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.58 / $1,381.38 / $2,209.10	Professional		$950.58	$1,381.38	$2,209.10
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 $905.92 / $1,325.23 / $1,923.65	Professional		$905.92	$1,325.23	$1,923.65