Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,285.35 / $2,747.00	Facility		$787.00	$1,285.35	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.16 / $946.13 / $1,285.35	Professional		$818.16	$946.13	$1,285.35
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 $734.41 / $874.21 / $1,277.50	Professional		$734.41	$874.21	$1,277.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.01 / $1,247.44 / $1,439.02	Facility		$874.01	$1,247.44	$1,439.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.98 / $1,247.44 / $1,782.06	Professional		$870.98	$1,247.44	$1,782.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.38 / $1,111.38 / $1,265.67	Facility		$1,111.38	$1,111.38	$1,265.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.43 / $1,274.00 / $1,803.70	Professional		$918.43	$1,274.00	$1,803.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,158.33	Professional		$32.34	$32.34	$1,158.33
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 $820.83 / $1,206.42 / $1,921.47	Professional		$820.83	$1,206.42	$1,921.47