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 $805.90 / $936.98 / $1,678.08	Professional		$805.90	$936.98	$1,678.08
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 $866.49 / $1,049.99 / $1,631.74	Professional		$866.49	$1,049.99	$1,631.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $866.76 / $1,248.98 / $1,440.79	Facility		$866.76	$1,248.98	$1,440.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $981.35 / $1,248.98 / $1,784.26	Professional		$981.35	$1,248.98	$1,784.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,652.37	Facility		$1,094.01	$1,094.01	$1,652.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.78 / $1,414.15 / $2,199.23	Professional		$969.78	$1,414.15	$2,199.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,159.77	Professional		$32.34	$32.34	$1,159.77
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 $944.86 / $1,333.09 / $1,981.39	Professional		$944.86	$1,333.09	$1,981.39