Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.59 / $1,064.70 / $10,152.00	Facility		$880.59	$1,064.70	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.59 / $909.37 / $1,083.81	Professional		$880.59	$909.37	$1,083.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.77 / $955.81 / $1,341.50	Professional		$788.77	$955.81	$1,341.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $842.66 / $1,155.86 / $1,333.38	Facility		$842.66	$1,155.86	$1,333.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $949.46 / $1,155.86 / $1,857.65	Professional		$949.46	$1,155.86	$1,857.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.49 / $1,014.00 / $1,014.00	Facility		$896.49	$1,014.00	$1,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.21 / $1,260.21 / $1,919.09	Professional		$864.21	$1,260.21	$1,919.09
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 $806.93 / $1,201.72 / $1,748.60	Professional		$806.93	$1,201.72	$1,748.60