Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,078.00 / $8,229.00	Facility		$860.00	$1,078.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.41 / $1,019.93 / $1,157.78	Professional		$925.41	$1,019.93	$1,157.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,987.00 / $21,322.13	Facility		$7,062.90	$9,987.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.52 / $1,062.14 / $1,456.48	Professional		$876.52	$1,062.14	$1,456.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.35 / $1,372.00 / $1,582.70	Facility		$1,003.35	$1,372.00	$1,582.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $957.95 / $1,372.00 / $1,960.00	Professional		$957.95	$1,372.00	$1,960.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,093.51 / $1,213.45 / $1,213.45	Facility		$1,093.51	$1,213.45	$1,213.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.95 / $1,383.52 / $2,268.96	Professional		$1,062.95	$1,383.52	$2,268.96
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 $950.46 / $1,462.60 / $2,105.54	Professional		$950.46	$1,462.60	$2,105.54