Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,495.49 / $8,337.65	Facility		$787.00	$1,495.49	$8,337.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.53 / $840.38 / $1,504.86	Professional		$739.53	$840.38	$1,504.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.77 / $856.45 / $1,204.90	Professional		$706.77	$856.45	$1,204.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $819.16 / $1,115.58 / $1,286.91	Facility		$819.16	$1,115.58	$1,286.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $916.38 / $1,115.58 / $1,593.70	Professional		$916.38	$1,115.58	$1,593.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.51 / $1,002.51 / $1,002.51	Facility		$869.51	$1,002.51	$1,002.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.01 / $1,132.06 / $1,856.80	Professional		$867.01	$1,132.06	$1,856.80
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 $738.28 / $1,049.06 / $1,723.41	Professional		$738.28	$1,049.06	$1,723.41