Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,145.33 / $9,311.00	Facility		$860.00	$1,145.33	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.21 / $961.90 / $1,010.12	Professional		$937.21	$961.90	$1,010.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.97 / $997.25 / $1,408.20	Professional		$822.97	$997.25	$1,408.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.18 / $1,330.69 / $1,535.05	Facility		$978.18	$1,330.69	$1,535.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.54 / $1,330.69 / $1,900.98	Professional		$1,045.54	$1,330.69	$1,900.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.48 / $1,168.24 / $1,168.24	Facility		$1,092.48	$1,168.24	$1,168.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,344.88 / $2,080.98	Professional		$992.21	$1,344.88	$2,080.98
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 $841.91 / $1,248.75 / $1,933.75	Professional		$841.91	$1,248.75	$1,933.75