Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.80 / $1,583.11 / $8,774.00	Facility		$742.80	$1,583.11	$8,774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.80 / $865.09 / $1,301.79	Professional		$742.80	$865.09	$1,301.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.94 / $840.90 / $1,258.71	Professional		$693.94	$840.90	$1,258.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $803.59 / $1,150.33 / $1,327.00	Facility		$803.59	$1,150.33	$1,327.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.84 / $1,150.33 / $1,643.34	Professional		$903.84	$1,150.33	$1,643.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $1,281.84	Facility		$1,016.63	$1,016.63	$1,281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.34 / $1,235.08 / $1,804.00	Professional		$840.34	$1,235.08	$1,804.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,068.17	Professional		$32.34	$32.34	$1,068.17
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.38 / $1,095.33 / $1,656.18	Professional		$790.38	$1,095.33	$1,656.18