Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.84 / $1,194.00 / $13,304.00	Facility		$863.84	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.78 / $949.28 / $1,016.04	Professional		$860.78	$949.28	$1,016.04
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 $781.63 / $947.16 / $1,362.70	Professional		$781.63	$947.16	$1,362.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.36 / $1,289.68 / $1,487.74	Facility		$944.36	$1,289.68	$1,487.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $921.20 / $1,289.68 / $1,842.40	Professional		$921.20	$1,289.68	$1,842.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.96 / $1,136.58 / $1,136.58	Facility		$999.96	$1,136.58	$1,136.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.25 / $1,317.79 / $1,976.79	Professional		$965.25	$1,317.79	$1,976.79
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 $839.61 / $1,291.80 / $1,919.92	Professional		$839.61	$1,291.80	$1,919.92