Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.17 / $1,296.53 / $8,229.00	Facility		$691.17	$1,296.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $799.44 / $1,052.80	Professional		$691.17	$799.44	$1,052.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.61 / $769.01 / $1,127.23	Professional		$634.61	$769.01	$1,127.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.56 / $1,052.93 / $1,214.63	Facility		$740.56	$1,052.93	$1,214.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.65 / $1,052.93 / $1,504.18	Professional		$829.65	$1,052.93	$1,504.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $1,036.66	Facility		$943.23	$943.23	$1,036.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.43 / $1,088.51 / $1,586.55	Professional		$775.43	$1,088.51	$1,586.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $977.72	Professional		$32.34	$32.34	$977.72
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 $718.39 / $1,053.21 / $1,468.77	Professional		$718.39	$1,053.21	$1,468.77