Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.14 / $1,194.00 / $13,304.00	Facility		$771.14	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.14 / $851.49 / $915.79	Professional		$771.14	$851.49	$915.79
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 $780.75 / $946.09 / $1,310.30	Professional		$780.75	$946.09	$1,310.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $857.40 / $1,170.23 / $1,349.95	Facility		$857.40	$1,170.23	$1,349.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $961.26 / $1,170.23 / $1,671.76	Professional		$961.26	$1,170.23	$1,671.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.52 / $1,037.52 / $1,050.68	Facility		$1,037.52	$1,037.52	$1,050.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.24 / $1,260.58 / $1,995.05	Professional		$939.24	$1,260.58	$1,995.05
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 $798.72 / $1,166.80 / $1,835.54	Professional		$798.72	$1,166.80	$1,835.54