Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.91 / $1,285.41 / $2,747.00	Facility		$757.91	$1,285.41	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.91 / $882.38 / $1,285.41	Professional		$757.91	$882.38	$1,285.41
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 $724.07 / $877.41 / $1,311.71	Professional		$724.07	$877.41	$1,311.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $816.78 / $1,176.04 / $1,356.66	Facility		$816.78	$1,176.04	$1,356.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $840.03 / $1,176.04 / $1,680.06	Professional		$840.03	$1,176.04	$1,680.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.52 / $1,031.52 / $1,265.71	Facility		$1,031.52	$1,031.52	$1,265.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,266.65 / $1,904.12	Professional		$897.27	$1,266.65	$1,904.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,092.04	Professional		$32.34	$32.34	$1,092.04
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 $877.76 / $1,259.58 / $1,796.90	Professional		$877.76	$1,259.58	$1,796.90