Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.48 / $1,197.39 / $2,747.00	Facility		$627.48	$1,197.39	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.48 / $734.67 / $1,197.39	Professional		$627.48	$734.67	$1,197.39
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 $651.86 / $789.91 / $1,125.91	Professional		$651.86	$789.91	$1,125.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.64 / $979.43 / $1,129.83	Facility		$681.64	$979.43	$1,129.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $683.85 / $979.43 / $1,399.18	Professional		$683.85	$979.43	$1,399.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.51 / $861.51 / $1,179.05	Facility		$861.51	$861.51	$1,179.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.46 / $1,106.90 / $1,586.00	Professional		$743.46	$1,106.90	$1,586.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $909.47	Professional		$32.34	$32.34	$909.47
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 $723.59 / $987.02 / $1,498.12	Professional		$723.59	$987.02	$1,498.12