Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.54 / $1,000.60 / $8,229.00	Facility		$796.54	$1,000.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.54 / $906.13 / $1,016.71	Professional		$796.54	$906.13	$1,016.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.76 / $912.17 / $1,337.88	Professional		$752.76	$912.17	$1,337.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $961.90 / $1,298.70 / $1,498.13	Facility		$961.90	$1,298.70	$1,498.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,066.79 / $1,298.70 / $1,855.28	Professional		$1,066.79	$1,298.70	$1,855.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.66 / $1,139.66 / $1,236.63	Facility		$1,139.66	$1,139.66	$1,236.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.24 / $1,291.42 / $1,969.22	Professional		$889.24	$1,291.42	$1,969.22
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.53 / $1,227.84 / $1,879.07	Professional		$927.53	$1,227.84	$1,879.07