Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.08 / $1,151.74 / $8,229.00	Facility		$706.08	$1,151.74	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.46 / $815.61 / $1,151.74	Professional		$640.46	$815.61	$1,151.74
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 $578.41 / $700.90 / $1,105.66	Professional		$578.41	$700.90	$1,105.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $754.25 / $1,071.71 / $1,236.29	Facility		$754.25	$1,071.71	$1,236.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.51 / $1,071.71 / $1,531.02	Professional		$765.51	$1,071.71	$1,531.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $963.00 / $1,134.08	Facility		$963.00	$963.00	$1,134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.34 / $1,032.24 / $1,415.32	Professional		$772.34	$1,032.24	$1,415.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $995.16	Professional		$32.34	$32.34	$995.16
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 $686.57 / $1,000.11 / $1,523.39	Professional		$686.57	$1,000.11	$1,523.39