Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,466.58 / $7,784.47	Facility		$787.00	$1,466.58	$7,784.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.59 / $941.20 / $1,466.58	Professional		$809.59	$941.20	$1,466.58
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 $851.86 / $1,032.26 / $1,431.40	Professional		$851.86	$1,032.26	$1,431.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.68 / $1,254.60 / $1,447.29	Facility		$870.68	$1,254.60	$1,447.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $896.15 / $1,254.60 / $1,792.30	Professional		$896.15	$1,254.60	$1,792.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.84 / $1,098.84 / $1,444.12	Facility		$1,098.84	$1,098.84	$1,444.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.39 / $1,422.90 / $2,057.44	Professional		$965.39	$1,422.90	$2,057.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,165.00	Professional		$32.34	$32.34	$1,165.00
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.35 / $1,339.43 / $1,955.16	Professional		$949.35	$1,339.43	$1,955.16