Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,072.75 / $2,747.00	Facility		$787.00	$1,072.75	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.31 / $985.02 / $1,110.39	Professional		$880.31	$985.02	$1,110.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.84 / $1,073.44 / $1,374.45	Professional		$880.84	$1,073.44	$1,374.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $1,365.32 / $1,575.01	Facility		$949.00	$1,365.32	$1,575.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,072.69 / $1,334.12 / $1,950.46	Professional		$1,072.69	$1,334.12	$1,950.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.05 / $1,197.05 / $1,197.05	Facility		$1,197.05	$1,197.05	$1,197.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.89 / $1,432.76 / $2,077.10	Professional		$989.89	$1,432.76	$2,077.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.80	Professional		$32.34	$32.34	$1,267.80
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.55 / $1,382.77 / $2,096.71	Professional		$1,010.55	$1,382.77	$2,096.71