Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,224.68 / $8,229.00	Facility		$787.00	$1,224.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.40 / $927.93 / $1,147.01	Professional		$888.40	$927.93	$1,147.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.01 / $1,021.53 / $1,437.30	Professional		$843.01	$1,021.53	$1,437.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $884.75 / $1,213.41 / $1,399.75	Facility		$884.75	$1,213.41	$1,399.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $847.22 / $1,213.41 / $1,733.44	Professional		$847.22	$1,213.41	$1,733.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.19 / $1,064.03 / $1,064.03	Facility		$1,031.19	$1,064.03	$1,064.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.93 / $1,327.49 / $2,024.92	Professional		$907.93	$1,327.49	$2,024.92
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.40 / $1,293.63 / $1,836.91	Professional		$856.40	$1,293.63	$1,836.91