Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.09 / $1,118.94 / $2,747.00	Facility		$754.09	$1,118.94	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.09 / $872.33 / $1,118.94	Professional		$754.09	$872.33	$1,118.94
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 $692.97 / $828.90 / $1,217.10	Professional		$692.97	$828.90	$1,217.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.10 / $1,148.29 / $1,324.64	Facility		$806.10	$1,148.29	$1,324.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.35 / $1,148.29 / $1,640.42	Professional		$904.35	$1,148.29	$1,640.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $1,026.75 / $1,101.80	Facility		$1,026.75	$1,026.75	$1,101.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.44 / $1,183.79 / $1,764.76	Professional		$846.44	$1,183.79	$1,764.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,066.27	Professional		$32.34	$32.34	$1,066.27
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 $775.10 / $1,090.31 / $1,605.51	Professional		$775.10	$1,090.31	$1,605.51