Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,106.75 / $8,229.00	Facility		$860.00	$1,106.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.47 / $962.98 / $1,147.66	Professional		$932.47	$962.98	$1,147.66
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 $844.01 / $1,022.75 / $1,401.29	Professional		$844.01	$1,022.75	$1,401.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.34 / $1,225.22 / $1,413.39	Facility		$893.34	$1,225.22	$1,413.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,006.43 / $1,225.22 / $1,969.11	Professional		$1,006.43	$1,225.22	$1,969.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.84 / $1,311.60 / $1,311.60	Professional		$1,280.84	$1,311.60	$1,311.60
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 $916.28 / $1,242.30 / $1,849.67	Professional		$916.28	$1,242.30	$1,849.67