Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.07 / $1,453.01 / $10,152.00	Facility		$712.07	$1,453.01	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.01 / $782.49 / $952.01	Professional		$710.01	$782.49	$952.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,567.00 / $4,114.00 / $7,848.00	Facility		$2,567.00	$4,114.00	$7,848.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.57 / $788.91 / $1,026.50	Professional		$670.57	$788.91	$1,026.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $767.99 / $1,054.09 / $1,215.98	Facility		$767.99	$1,054.09	$1,215.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.22 / $1,054.09 / $1,505.86	Professional		$828.22	$1,054.09	$1,505.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.52 / $930.52 / $930.52	Facility		$930.52	$930.52	$930.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.43 / $1,127.52 / $1,723.59	Professional		$775.43	$1,127.52	$1,723.59
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.82 / $1,145.77 / $1,622.64	Professional		$789.82	$1,145.77	$1,622.64