Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $1,236.22 / $8,229.00	Facility		$557.00	$1,236.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,182.47 / $1,457.15	Professional		$908.20	$1,182.47	$1,457.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.24 / $1,000.80 / $1,498.19	Professional		$848.24	$1,000.80	$1,498.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.52 / $1,410.43 / $1,659.33	Facility		$881.52	$1,410.43	$1,659.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,013.75 / $1,451.91 / $2,074.16	Professional		$1,013.75	$1,451.91	$2,074.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.77 / $1,282.81 / $1,282.81	Facility		$320.77	$1,282.81	$1,282.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.27 / $1,245.24 / $5,335.26	Professional		$901.27	$1,245.24	$5,335.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $778.24	Professional		$32.34	$32.34	$778.24
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,335.00 / $3,394.00	Facility		$391.00	$1,335.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,237.19 / $1,955.69	Professional		$950.60	$1,237.19	$1,955.69