Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,343.52 / $2,747.00	Facility		$787.00	$1,343.52	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.68 / $985.10 / $1,343.52	Professional		$847.68	$985.10	$1,343.52
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 $881.35 / $1,051.32 / $1,478.23	Professional		$881.35	$1,051.32	$1,478.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $911.43 / $1,314.47 / $1,516.33	Facility		$911.43	$1,314.47	$1,516.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $938.91 / $1,314.47 / $1,877.82	Professional		$938.91	$1,314.47	$1,877.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,150.55 / $1,322.93	Facility		$1,150.55	$1,150.55	$1,322.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.82 / $1,419.01 / $2,110.67	Professional		$1,009.82	$1,419.01	$2,110.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,220.58	Professional		$32.34	$32.34	$1,220.58
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 $995.30 / $1,331.55 / $2,021.38	Professional		$995.30	$1,331.55	$2,021.38