Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,103.43 / $8,229.00	Facility		$896.00	$1,103.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $993.60 / $1,257.33	Professional		$750.15	$993.60	$1,257.33
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 $633.04 / $773.54 / $1,208.58	Professional		$633.04	$773.54	$1,208.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $867.03 / $1,212.46 / $1,385.66	Facility		$867.03	$1,212.46	$1,385.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $866.04 / $1,212.46 / $1,732.08	Professional		$866.04	$1,212.46	$1,732.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.44 / $1,100.57 / $1,117.44	Facility		$957.44	$1,100.57	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.64 / $1,035.89 / $1,861.41	Professional		$749.64	$1,035.89	$1,861.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $598.29	Professional		$32.34	$32.34	$598.29
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 $722.22 / $954.85 / $1,529.30	Professional		$722.22	$954.85	$1,529.30