Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,354.00 / $2,747.00	Facility		$787.00	$1,354.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.74 / $960.58 / $1,459.70	Professional		$830.74	$960.58	$1,459.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.27 / $946.72 / $1,391.54	Professional		$781.27	$946.72	$1,391.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $886.81 / $1,262.16 / $1,455.99	Facility		$886.81	$1,262.16	$1,455.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $991.69 / $1,262.16 / $1,803.08	Professional		$991.69	$1,262.16	$1,803.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.88 / $1,131.88 / $1,437.34	Facility		$1,131.88	$1,131.88	$1,437.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.61 / $1,351.73 / $1,980.22	Professional		$942.61	$1,351.73	$1,980.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,172.00	Professional		$32.34	$32.34	$1,172.00
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 $886.99 / $1,262.26 / $1,812.98	Professional		$886.99	$1,262.26	$1,812.98