Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.84 / $1,104.79 / $2,747.00	Facility		$719.84	$1,104.79	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.84 / $837.68 / $1,104.79	Professional		$719.84	$837.68	$1,104.79
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 $703.12 / $849.49 / $1,221.33	Professional		$703.12	$849.49	$1,221.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.56 / $1,115.86 / $1,287.23	Facility		$774.56	$1,115.86	$1,287.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $876.76 / $1,115.86 / $1,594.10	Professional		$876.76	$1,115.86	$1,594.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $977.70 / $1,087.86	Facility		$977.70	$977.70	$1,087.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.25 / $1,167.31 / $1,777.76	Professional		$844.25	$1,167.31	$1,777.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,036.17	Professional		$32.34	$32.34	$1,036.17
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 $810.44 / $1,105.83 / $1,637.97	Professional		$810.44	$1,105.83	$1,637.97