Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.56 / $1,194.00 / $13,304.00	Facility		$851.56	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.56 / $939.63 / $1,011.94	Professional		$851.56	$939.63	$1,011.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.13 / $1,041.07 / $1,410.80	Professional		$859.13	$1,041.07	$1,410.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $945.77 / $1,290.20 / $1,488.33	Facility		$945.77	$1,290.20	$1,488.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $900.83 / $1,290.20 / $2,073.53	Professional		$900.83	$1,290.20	$2,073.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,141.56 / $1,144.56 / $1,144.56	Facility		$1,141.56	$1,144.56	$1,144.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.02 / $1,341.07 / $2,197.05	Professional		$1,035.02	$1,341.07	$2,197.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $878.91 / $1,283.82 / $2,021.90	Professional		$878.91	$1,283.82	$2,021.90