Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.24 / $1,000.91 / $9,311.00	Facility		$813.24	$1,000.91	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.24 / $839.97 / $1,000.91	Professional		$813.24	$839.97	$1,000.91
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 $732.62 / $887.77 / $1,209.30	Professional		$732.62	$887.77	$1,209.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.08 / $1,069.32 / $1,233.54	Facility		$779.08	$1,069.32	$1,233.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $864.08 / $1,069.32 / $1,527.60	Professional		$864.08	$1,069.32	$1,527.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.21 / $936.55 / $936.55	Facility		$813.21	$936.55	$936.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.98 / $1,173.34 / $1,782.24	Professional		$796.98	$1,173.34	$1,782.24
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.19 / $1,124.24 / $1,652.69	Professional		$790.19	$1,124.24	$1,652.69