Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.65 / $1,375.47 / $8,229.00	Facility		$819.65	$1,375.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.65 / $954.91 / $1,375.47	Professional		$819.65	$954.91	$1,375.47
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 $734.53 / $890.08 / $1,382.80	Professional		$734.53	$890.08	$1,382.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $885.79 / $1,270.19 / $1,465.26	Facility		$885.79	$1,270.19	$1,465.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $998.01 / $1,270.19 / $1,814.56	Professional		$998.01	$1,270.19	$1,814.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.04 / $1,120.04 / $1,354.39	Facility		$1,120.04	$1,120.04	$1,354.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.87 / $1,315.45 / $1,873.82	Professional		$927.87	$1,315.45	$1,873.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,179.46	Professional		$32.34	$32.34	$1,179.46
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 $839.64 / $1,210.56 / $1,836.68	Professional		$839.64	$1,210.56	$1,836.68