Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.64 / $1,034.15 / $8,229.00	Facility		$688.64	$1,034.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.28 / $940.24 / $1,183.65	Professional		$812.28	$940.24	$1,183.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.98 / $835.04 / $1,356.28	Professional		$693.98	$835.04	$1,356.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.94 / $1,316.20 / $1,518.33	Facility		$958.94	$1,316.20	$1,518.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.16 / $1,316.20 / $1,880.28	Professional		$1,081.16	$1,316.20	$1,880.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.38 / $1,155.38 / $1,155.38	Facility		$1,155.38	$1,155.38	$1,155.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,353.60 / $1,920.78	Professional		$960.78	$1,353.60	$1,920.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,034.15	Professional		$32.34	$32.34	$1,034.15
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.02 / $1,295.99 / $1,829.99	Professional		$854.02	$1,295.99	$1,829.99