Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,076.91 / $5,320.00	Facility		$787.00	$1,076.91	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.98 / $964.70 / $1,260.21	Professional		$858.98	$964.70	$1,260.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.99 / $880.25 / $1,369.09	Professional		$679.99	$880.25	$1,369.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.16 / $1,264.26 / $1,458.40	Facility		$894.16	$1,264.26	$1,458.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $988.96 / $1,264.26 / $1,806.08	Professional		$988.96	$1,264.26	$1,806.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.44 / $1,107.83 / $1,107.83	Facility		$1,043.44	$1,107.83	$1,107.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.45 / $1,406.68 / $2,114.02	Professional		$940.45	$1,406.68	$2,114.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,173.95	Professional		$32.34	$32.34	$1,173.95
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 $948.97 / $1,314.92 / $2,078.65	Professional		$948.97	$1,314.92	$2,078.65