Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,049.41 / $8,229.00	Facility		$787.00	$1,049.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.14 / $890.58 / $1,061.09	Professional		$862.14	$890.58	$1,061.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.73 / $943.64 / $1,281.80	Professional		$778.73	$943.64	$1,281.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.52 / $1,132.05 / $1,305.91	Facility		$825.52	$1,132.05	$1,305.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.42 / $1,132.05 / $1,617.22	Professional		$790.42	$1,132.05	$1,617.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.61 / $992.26 / $992.26	Facility		$883.61	$992.26	$992.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.08 / $1,230.98 / $1,885.13	Professional		$845.08	$1,230.98	$1,885.13
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 $846.47 / $1,162.13 / $1,709.51	Professional		$846.47	$1,162.13	$1,709.51