Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,037.51 / $8,229.00	Facility		$896.00	$1,037.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.99 / $1,010.97 / $1,240.97	Professional		$926.99	$1,010.97	$1,240.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,045.00 / $11,262.00	Facility		$2,288.00	$4,045.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.81 / $850.47 / $1,311.60	Professional		$706.81	$850.47	$1,311.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $879.82 / $1,234.53 / $1,410.90	Facility		$879.82	$1,234.53	$1,410.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $881.81 / $1,234.53 / $1,763.62	Professional		$881.81	$1,234.53	$1,763.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.23 / $1,098.33 / $1,322.53	Facility		$900.23	$1,098.33	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.33 / $1,078.65 / $1,944.42	Professional		$819.33	$1,078.65	$1,944.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $540.57	Professional		$32.34	$32.34	$540.57
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 $786.05 / $998.38 / $1,767.47	Professional		$786.05	$998.38	$1,767.47