Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.82 / $1,060.92 / $8,229.00	Facility		$757.82	$1,060.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.09 / $815.74 / $1,044.25	Professional		$732.09	$815.74	$1,044.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.60 / $1,116.00 / $1,371.36	Professional		$948.60	$1,116.00	$1,371.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $866.84 / $1,177.44 / $1,358.27	Facility		$866.84	$1,177.44	$1,358.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $967.18 / $1,177.44 / $1,682.06	Professional		$967.18	$1,177.44	$1,682.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.33 / $1,039.33 / $1,045.47	Facility		$1,039.33	$1,039.33	$1,045.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.84 / $1,156.93 / $1,887.49	Professional		$860.84	$1,156.93	$1,887.49
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.55 / $1,045.99 / $1,531.81	Professional		$813.55	$1,045.99	$1,531.81