Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,029.89 / $8,229.00	Facility		$860.00	$1,029.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.89 / $898.29 / $1,070.63	Professional		$869.89	$898.29	$1,070.63
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 $782.32 / $947.99 / $1,305.85	Professional		$782.32	$947.99	$1,305.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $833.36 / $1,142.83 / $1,318.33	Facility		$833.36	$1,142.83	$1,318.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.70 / $1,142.83 / $1,632.62	Professional		$891.70	$1,142.83	$1,632.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.18 / $1,001.77 / $1,001.77	Facility		$867.18	$1,001.77	$1,001.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.11 / $1,210.68 / $1,898.56	Professional		$852.11	$1,210.68	$1,898.56
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 $849.81 / $1,240.75 / $1,723.99	Professional		$849.81	$1,240.75	$1,723.99