Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,109.10 / $8,229.00	Facility		$860.00	$1,109.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.78 / $942.54 / $1,124.65	Professional		$913.78	$942.54	$1,124.65
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 $810.60 / $987.50 / $1,395.00	Professional		$810.60	$987.50	$1,395.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $871.01 / $1,194.33 / $1,377.77	Facility		$871.01	$1,194.33	$1,377.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.91 / $1,194.33 / $1,919.48	Professional		$833.91	$1,194.33	$1,919.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.88 / $1,047.23 / $1,047.23	Facility		$933.88	$1,047.23	$1,047.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.18 / $1,304.09 / $1,991.53	Professional		$896.18	$1,304.09	$1,991.53
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 $833.69 / $1,244.29 / $1,811.23	Professional		$833.69	$1,244.29	$1,811.23