Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.35 / $1,023.10 / $2,747.00	Facility		$666.35	$1,023.10	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.35 / $775.62 / $1,023.10	Professional		$666.35	$775.62	$1,023.10
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 $489.64 / $633.85 / $1,079.36	Professional		$489.64	$633.85	$1,079.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $719.04 / $1,035.33 / $1,194.32	Facility		$719.04	$1,035.33	$1,194.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $722.88 / $1,035.33 / $1,479.04	Professional		$722.88	$1,035.33	$1,479.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.02 / $908.02 / $1,007.43	Facility		$908.02	$908.02	$1,007.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.62 / $916.03 / $1,632.23	Professional		$602.62	$916.03	$1,632.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $961.38	Professional		$32.34	$32.34	$961.38
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.67 / $890.87 / $1,501.52	Professional		$563.67	$890.87	$1,501.52