Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.18 / $1,334.48 / $2,747.00	Facility		$767.18	$1,334.48	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.18 / $892.43 / $1,398.66	Professional		$767.18	$892.43	$1,398.66
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 $791.75 / $959.42 / $1,351.45	Professional		$791.75	$959.42	$1,351.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.75 / $1,189.43 / $1,372.09	Facility		$825.75	$1,189.43	$1,372.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $830.47 / $1,189.43 / $1,699.18	Professional		$830.47	$1,189.43	$1,699.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $1,042.67 / $1,377.23	Facility		$1,042.67	$1,042.67	$1,377.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.62 / $1,349.31 / $1,931.07	Professional		$908.62	$1,349.31	$1,931.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,104.47	Professional		$32.34	$32.34	$1,104.47
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 $888.29 / $1,265.81 / $1,816.07	Professional		$888.29	$1,265.81	$1,816.07