Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $930.04 / $2,747.00	Facility		$776.79	$930.04	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.29 / $967.97 / $1,247.27	Professional		$829.29	$967.97	$1,247.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.37 / $917.76 / $1,338.04	Professional		$757.37	$917.76	$1,338.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.57 / $1,134.33 / $1,324.30	Facility		$931.57	$1,134.33	$1,324.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.31 / $1,280.92 / $2,039.94	Professional		$913.31	$1,280.92	$2,039.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,680.49 / $1,680.49 / $1,961.00	Facility		$1,680.49	$1,680.49	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.23 / $1,125.88 / $2,016.79	Professional		$908.23	$1,125.88	$2,016.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,325.96	Professional		$32.34	$32.34	$1,325.96
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.50 / $1,158.11 / $1,993.28	Professional		$926.50	$1,158.11	$1,993.28