Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,343.92 / $2,747.00	Facility		$787.00	$1,343.92	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.91 / $1,028.89 / $1,343.92	Professional		$886.91	$1,028.89	$1,343.92
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 $776.22 / $982.18 / $1,454.08	Professional		$776.22	$982.18	$1,454.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $951.89 / $1,365.83 / $1,575.58	Facility		$951.89	$1,365.83	$1,575.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,073.15 / $1,365.83 / $1,951.18	Professional		$1,073.15	$1,365.83	$1,951.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.36 / $1,203.36 / $1,323.33	Facility		$1,203.36	$1,203.36	$1,323.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.91 / $1,387.71 / $2,066.27	Professional		$999.91	$1,387.71	$2,066.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,268.27	Professional		$32.34	$32.34	$1,268.27
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.83 / $1,243.79 / $1,921.49	Professional		$906.83	$1,243.79	$1,921.49