Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,120.05 / $8,229.00	Facility		$637.00	$1,120.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.01 / $1,113.08 / $1,366.52	Professional		$1,020.01	$1,113.08	$1,366.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.20 / $930.65 / $1,444.41	Professional		$780.20	$930.65	$1,444.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $967.74 / $1,359.06 / $1,553.22	Facility		$967.74	$1,359.06	$1,553.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $948.92 / $1,359.06 / $1,941.52	Professional		$948.92	$1,359.06	$1,941.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.85 / $1,206.07 / $1,322.53	Facility		$971.85	$1,206.07	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.76 / $1,236.14 / $2,133.13	Professional		$900.76	$1,236.14	$2,133.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.75	Professional		$32.34	$32.34	$696.75
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 $863.47 / $1,132.55 / $1,880.22	Professional		$863.47	$1,132.55	$1,880.22