Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,260.36 / $8,229.00	Facility		$787.00	$1,260.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,166.83	Professional		$791.70	$791.70	$1,166.83
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 $620.50 / $751.90 / $1,020.81	Professional		$620.50	$751.90	$1,020.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,008.19 / $1,082.86 / $53,899.46	Facility		$1,008.19	$1,082.86	$53,899.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $799.08 / $1,053.00 / $59,061.91	Professional		$799.08	$1,053.00	$59,061.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.24 / $1,061.24 / $1,061.24	Facility		$1,061.24	$1,061.24	$1,061.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.52 / $1,228.80 / $3,077.00	Professional		$1,052.52	$1,228.80	$3,077.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $553.19 / $663.82 / $746.80	Professional		$553.19	$663.82	$746.80
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 $919.69 / $1,363.89 / $1,856.33	Professional		$919.69	$1,363.89	$1,856.33