Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.21 / $1,090.25 / $2,747.00	Facility		$720.21	$1,090.25	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $832.61 / $1,090.25	Professional		$720.21	$832.61	$1,090.25
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 $663.60 / $804.13 / $1,160.09	Professional		$663.60	$804.13	$1,160.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $771.09 / $1,097.75 / $1,266.33	Facility		$771.09	$1,097.75	$1,266.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.11 / $1,097.75 / $1,568.22	Professional		$784.11	$1,097.75	$1,568.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $981.27 / $1,073.54	Facility		$981.27	$981.27	$1,073.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.77 / $1,131.57 / $1,670.94	Professional		$807.77	$1,131.57	$1,670.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,019.34	Professional		$32.34	$32.34	$1,019.34
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 $746.44 / $1,132.15 / $1,549.44	Professional		$746.44	$1,132.15	$1,549.44