Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.51 / $1,106.75 / $2,747.00	Facility		$729.51	$1,106.75	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.51 / $843.34 / $1,112.17	Professional		$729.51	$843.34	$1,112.17
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 $672.06 / $800.00 / $1,159.59	Professional		$672.06	$800.00	$1,159.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.48 / $1,111.15 / $1,281.80	Facility		$780.48	$1,111.15	$1,281.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.28 / $1,111.15 / $1,587.36	Professional		$875.28	$1,111.15	$1,587.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.56 / $993.56 / $1,089.80	Facility		$993.56	$993.56	$1,089.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.23 / $1,145.23 / $1,698.00	Professional		$818.23	$1,145.23	$1,698.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,031.78	Professional		$32.34	$32.34	$1,031.78
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 $753.80 / $1,064.72 / $1,570.55	Professional		$753.80	$1,064.72	$1,570.55