Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.40 / $1,334.35 / $2,747.00	Facility		$729.40	$1,334.35	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.40 / $842.49 / $1,334.35	Professional		$729.40	$842.49	$1,334.35
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 $677.75 / $821.28 / $1,209.97	Professional		$677.75	$821.28	$1,209.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.64 / $1,106.07 / $1,275.93	Facility		$779.64	$1,106.07	$1,275.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $772.27 / $1,106.07 / $1,580.10	Professional		$772.27	$1,106.07	$1,580.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.54 / $996.54 / $1,313.92	Facility		$996.54	$996.54	$1,313.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.83 / $1,192.77 / $1,723.20	Professional		$816.83	$1,192.77	$1,723.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,027.07	Professional		$32.34	$32.34	$1,027.07
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 $778.34 / $1,111.92 / $1,579.47	Professional		$778.34	$1,111.92	$1,579.47