Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.71 / $1,133.77 / $2,747.00	Facility		$770.71	$1,133.77	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.71 / $891.95 / $1,174.81	Professional		$770.71	$891.95	$1,174.81
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 $707.88 / $842.62 / $1,245.29	Professional		$707.88	$842.62	$1,245.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.38 / $1,175.29 / $1,355.78	Facility		$825.38	$1,175.29	$1,355.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $839.49 / $1,133.31 / $1,678.98	Professional		$839.49	$1,133.31	$1,678.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.59 / $1,050.59 / $1,116.40	Facility		$1,050.59	$1,050.59	$1,116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.38 / $1,211.31 / $1,795.77	Professional		$865.38	$1,211.31	$1,795.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,091.33	Professional		$32.34	$32.34	$1,091.33
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 $811.33 / $1,140.08 / $1,660.19	Professional		$811.33	$1,140.08	$1,660.19