Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.49 / $1,275.20 / $2,747.00	Facility		$644.49	$1,275.20	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.49 / $750.52 / $1,275.20	Professional		$644.49	$750.52	$1,275.20
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 $675.64 / $818.73 / $1,163.22	Professional		$675.64	$818.73	$1,163.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $694.92 / $999.91 / $1,153.47	Facility		$694.92	$999.91	$1,153.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $698.15 / $999.91 / $1,428.44	Professional		$698.15	$999.91	$1,428.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $1,255.66	Facility		$877.51	$877.51	$1,255.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $1,168.36 / $1,637.69	Professional		$768.13	$1,168.36	$1,637.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $928.49	Professional		$32.34	$32.34	$928.49
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 $746.16 / $1,063.28 / $1,551.63	Professional		$746.16	$1,063.28	$1,551.63