Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.45 / $1,194.00 / $13,304.00	Facility		$765.45	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.45 / $845.40 / $905.30	Professional		$765.45	$845.40	$905.30
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 $748.20 / $906.65 / $1,245.08	Professional		$748.20	$906.65	$1,245.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.50 / $1,157.94 / $1,335.78	Facility		$849.50	$1,157.94	$1,335.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $949.68 / $1,157.94 / $1,654.20	Professional		$949.68	$1,157.94	$1,654.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.07 / $1,033.46 / $1,033.46	Facility		$953.07	$1,033.46	$1,033.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.20 / $1,154.69 / $1,915.02	Professional		$919.20	$1,154.69	$1,915.02
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 $765.43 / $1,134.80 / $1,794.73	Professional		$765.43	$1,134.80	$1,794.73