Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.48 / $1,129.10 / $2,747.00	Facility		$741.48	$1,129.10	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.48 / $839.06 / $1,129.10	Professional		$741.48	$839.06	$1,129.10
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 $656.12 / $795.07 / $1,254.92	Professional		$656.12	$795.07	$1,254.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.64 / $1,115.53 / $1,286.84	Facility		$763.64	$1,115.53	$1,286.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $796.81 / $1,115.53 / $1,593.62	Professional		$796.81	$1,115.53	$1,593.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $1,111.81	Facility		$977.74	$977.74	$1,111.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.94 / $1,148.69 / $1,843.77	Professional		$859.94	$1,148.69	$1,843.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,035.84	Professional		$32.34	$32.34	$1,035.84
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 $740.56 / $1,124.49 / $1,676.99	Professional		$740.56	$1,124.49	$1,676.99