Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,354.00 / $2,747.00	Facility		$787.00	$1,354.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.87 / $983.57 / $1,414.47	Professional		$845.87	$983.57	$1,414.47
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 $866.37 / $1,049.83 / $1,490.83	Professional		$866.37	$1,049.83	$1,490.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $911.24 / $1,312.04 / $1,513.52	Facility		$911.24	$1,312.04	$1,513.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,030.89 / $1,312.04 / $1,874.34	Professional		$1,030.89	$1,312.04	$1,874.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.92 / $1,150.92 / $1,392.80	Facility		$1,150.92	$1,150.92	$1,392.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.55 / $1,396.90 / $2,029.76	Professional		$956.55	$1,396.90	$2,029.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,218.32	Professional		$32.34	$32.34	$1,218.32
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 $978.40 / $1,378.38 / $1,969.78	Professional		$978.40	$1,378.38	$1,969.78