Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.72 / $1,017.87 / $2,747.00	Facility		$659.72	$1,017.87	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.72 / $762.61 / $1,017.87	Professional		$659.72	$762.61	$1,017.87
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 $600.28 / $727.41 / $1,077.48	Professional		$600.28	$727.41	$1,077.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $706.35 / $1,001.22 / $1,154.99	Facility		$706.35	$1,001.22	$1,154.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.16 / $1,001.22 / $1,430.32	Professional		$715.16	$1,001.22	$1,430.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $1,002.28	Facility		$902.97	$902.97	$1,002.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.19 / $1,065.86 / $1,530.85	Professional		$739.19	$1,065.86	$1,530.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $929.71	Professional		$32.34	$32.34	$929.71
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 $685.74 / $979.64 / $1,413.51	Professional		$685.74	$979.64	$1,413.51