Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.69 / $1,253.74 / $2,747.00	Facility		$771.69	$1,253.74	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.69 / $890.95 / $1,253.74	Professional		$771.69	$890.95	$1,253.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.57 / $869.53 / $1,291.13	Professional		$717.57	$869.53	$1,291.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $823.67 / $1,170.33 / $1,350.06	Facility		$823.67	$1,170.33	$1,350.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $1,170.33 / $1,671.90	Professional		$919.55	$1,170.33	$1,671.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,234.54	Facility		$1,052.08	$1,052.08	$1,234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.06 / $1,234.54 / $1,826.03	Professional		$864.06	$1,234.54	$1,826.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,086.74	Professional		$32.34	$32.34	$1,086.74
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 $815.20 / $1,153.96 / $1,676.34	Professional		$815.20	$1,153.96	$1,676.34