Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.23 / $1,154.30 / $2,747.00	Facility		$753.23	$1,154.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $871.01 / $1,154.30	Professional		$744.72	$871.01	$1,154.30
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 $696.71 / $835.27 / $1,225.53	Professional		$696.71	$835.27	$1,225.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.16 / $1,146.99 / $1,323.14	Facility		$805.16	$1,146.99	$1,323.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.28 / $1,146.99 / $1,638.56	Professional		$819.28	$1,146.99	$1,638.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,025.26 / $1,136.60	Facility		$1,025.26	$1,025.26	$1,136.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.18 / $1,181.95 / $1,762.13	Professional		$845.18	$1,181.95	$1,762.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,065.06	Professional		$32.34	$32.34	$1,065.06
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 $778.24 / $1,131.59 / $1,625.31	Professional		$778.24	$1,131.59	$1,625.31