Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.02 / $1,223.39 / $2,747.00	Facility		$640.02	$1,223.39	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.02 / $745.97 / $1,223.39	Professional		$640.02	$745.97	$1,223.39
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 $670.06 / $811.96 / $1,169.51	Professional		$670.06	$811.96	$1,169.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.57 / $994.64 / $1,147.39	Facility		$691.57	$994.64	$1,147.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $781.81 / $994.64 / $1,420.92	Professional		$781.81	$994.64	$1,420.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.43 / $873.43 / $1,204.65	Facility		$873.43	$873.43	$1,204.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.07 / $1,174.03 / $1,627.05	Professional		$763.07	$1,174.03	$1,627.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $923.60	Professional		$32.34	$32.34	$923.60
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 $757.02 / $1,033.29 / $1,539.27	Professional		$757.02	$1,033.29	$1,539.27