Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.78 / $1,194.00 / $13,304.00	Facility		$861.78	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.78 / $952.69 / $1,018.50	Professional		$861.78	$952.69	$1,018.50
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 $871.76 / $1,056.36 / $1,415.92	Professional		$871.76	$1,056.36	$1,415.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $961.30 / $1,312.60 / $1,514.17	Facility		$961.30	$1,312.60	$1,514.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,078.21 / $1,312.60 / $2,109.53	Professional		$1,078.21	$1,312.60	$2,109.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,161.34 / $1,161.34	Facility		$1,126.75	$1,161.34	$1,161.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.49 / $1,334.22 / $2,226.98	Professional		$1,050.49	$1,334.22	$2,226.98
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 $891.83 / $1,307.80 / $2,053.98	Professional		$891.83	$1,307.80	$2,053.98