Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.10 / $1,147.13 / $2,747.00	Facility		$720.10	$1,147.13	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.10 / $837.66 / $1,147.13	Professional		$720.10	$837.66	$1,147.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.36 / $802.99 / $1,216.75	Professional		$664.36	$802.99	$1,216.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $775.31 / $1,116.67 / $1,288.16	Facility		$775.31	$1,116.67	$1,288.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.62 / $1,116.67 / $1,595.24	Professional		$797.62	$1,116.67	$1,595.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $1,129.56	Facility		$978.70	$978.70	$1,129.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.23 / $1,148.07 / $1,699.94	Professional		$867.23	$1,148.07	$1,699.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,036.91	Professional		$32.34	$32.34	$1,036.91
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.94 / $1,047.90 / $1,624.83	Professional		$786.94	$1,047.90	$1,624.83