Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,247.94 / $2,747.00	Facility		$787.00	$1,247.94	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.65 / $956.01 / $1,247.94	Professional		$824.65	$956.01	$1,247.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.26 / $795.60 / $1,151.48	Professional		$676.26	$795.60	$1,151.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.04 / $1,271.44 / $1,466.69	Facility		$859.04	$1,271.44	$1,466.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.74 / $1,271.44 / $1,816.34	Professional		$887.74	$1,271.44	$1,816.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $1,115.95	Facility		$1,115.95	$1,115.95	$1,115.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.60 / $1,355.89 / $1,933.27	Professional		$988.60	$1,355.89	$1,933.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,180.61	Professional		$32.34	$32.34	$1,180.61
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.04 / $1,395.13 / $2,040.30	Professional		$979.04	$1,395.13	$2,040.30