Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.40 / $1,012.47 / $2,747.00	Facility		$717.40	$1,012.47	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $824.00 / $1,012.47	Professional		$717.40	$824.00	$1,012.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.23 / $825.00 / $1,198.39	Professional		$680.23	$825.00	$1,198.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.49 / $1,101.66 / $1,270.84	Facility		$780.49	$1,101.66	$1,270.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.19 / $1,101.66 / $1,573.80	Professional		$769.19	$1,101.66	$1,573.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $996.96	Facility		$968.65	$968.65	$996.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.80 / $1,172.40 / $1,646.08	Professional		$863.80	$1,172.40	$1,646.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,022.97	Professional		$32.34	$32.34	$1,022.97
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 $772.84 / $1,101.52 / $1,671.71	Professional		$772.84	$1,101.52	$1,671.71