Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.50 / $1,288.61 / $8,229.00	Facility		$813.50	$1,288.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.50 / $945.43 / $1,288.61	Professional		$813.50	$945.43	$1,288.61
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 $771.45 / $954.97 / $1,426.23	Professional		$771.45	$954.97	$1,426.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.46 / $1,260.20 / $1,453.73	Facility		$874.46	$1,260.20	$1,453.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $990.15 / $1,260.20 / $1,800.28	Professional		$990.15	$1,260.20	$1,800.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,103.68 / $1,103.68 / $1,268.88	Facility		$1,103.68	$1,103.68	$1,268.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.97 / $1,320.05 / $2,022.55	Professional		$952.97	$1,320.05	$2,022.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,170.18	Professional		$32.34	$32.34	$1,170.18
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.93 / $1,242.95 / $1,853.97	Professional		$871.93	$1,242.95	$1,853.97