Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,171.20 / $2,747.00	Facility		$787.00	$1,171.20	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.96 / $1,000.45 / $1,285.27	Professional		$864.96	$1,000.45	$1,285.27
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 $699.56 / $823.02 / $1,354.80	Professional		$699.56	$823.02	$1,354.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.51 / $1,329.26 / $1,533.40	Facility		$914.51	$1,329.26	$1,533.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $949.47 / $1,294.50 / $1,898.94	Professional		$949.47	$1,294.50	$1,898.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,153.27 / $1,167.61 / $1,167.61	Facility		$1,153.27	$1,167.61	$1,167.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.82 / $1,301.50 / $1,968.29	Professional		$936.82	$1,301.50	$1,968.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,234.31	Professional		$32.34	$32.34	$1,234.31
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.45 / $1,211.63 / $1,946.32	Professional		$836.45	$1,211.63	$1,946.32