Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.45 / $1,243.00 / $13,304.00	Facility		$816.45	$1,243.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.19 / $900.09 / $1,525.04	Professional		$815.19	$900.09	$1,525.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.46 / $942.10 / $1,282.48	Professional		$777.46	$942.10	$1,282.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.46 / $1,192.77 / $1,375.94	Facility		$872.46	$1,192.77	$1,375.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $979.78 / $1,192.77 / $1,703.96	Professional		$979.78	$1,192.77	$1,703.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.31 / $1,054.61 / $1,054.61	Facility		$954.31	$1,054.61	$1,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.96 / $1,195.16 / $1,965.54	Professional		$930.96	$1,195.16	$1,965.54
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 $835.13 / $1,245.95 / $1,813.96	Professional		$835.13	$1,245.95	$1,813.96