Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.12 / $1,033.54 / $8,229.00	Facility		$694.12	$1,033.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.12 / $771.14 / $826.34	Professional		$694.12	$771.14	$826.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.59 / $630.85 / $799.13	Professional		$520.59	$630.85	$799.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.70 / $1,118.78 / $1,320.26	Facility		$817.70	$1,118.78	$1,320.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.04 / $1,118.78 / $1,598.26	Professional		$879.04	$1,118.78	$1,598.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.02 / $983.02 / $983.02	Facility		$983.02	$983.02	$983.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.54 / $1,118.52 / $2,076.41	Professional		$835.54	$1,118.52	$2,076.41
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 $1,168.00 / $6,186.00 / $16,855.00	Facility		$1,168.00	$6,186.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.23 / $1,126.36 / $1,583.23	Professional		$793.23	$1,126.36	$1,583.23