Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.45 / $1,249.51 / $2,747.00	Facility		$764.45	$1,249.51	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.45 / $883.94 / $1,249.51	Professional		$764.45	$883.94	$1,249.51
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 $656.74 / $795.82 / $1,239.34	Professional		$656.74	$795.82	$1,239.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.01 / $1,162.50 / $1,341.04	Facility		$817.01	$1,162.50	$1,341.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.40 / $1,162.50 / $1,660.72	Professional		$913.40	$1,162.50	$1,660.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,230.36	Facility		$1,042.04	$1,042.04	$1,230.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.52 / $1,158.88 / $1,762.47	Professional		$843.52	$1,158.88	$1,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,079.47	Professional		$32.34	$32.34	$1,079.47
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 $761.60 / $1,110.35 / $1,654.88	Professional		$761.60	$1,110.35	$1,654.88