Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $1,081.69 / $2,747.00	Facility		$714.88	$1,081.69	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.88 / $827.07 / $1,081.69	Professional		$714.88	$827.07	$1,081.69
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 $658.12 / $793.51 / $1,156.40	Professional		$658.12	$793.51	$1,156.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.70 / $1,089.58 / $1,256.91	Facility		$765.70	$1,089.58	$1,256.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.76 / $1,089.58 / $1,556.54	Professional		$760.76	$1,089.58	$1,556.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.93 / $974.93 / $1,065.11	Facility		$974.93	$974.93	$1,065.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.37 / $1,116.81 / $1,664.60	Professional		$802.37	$1,116.81	$1,664.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,011.75	Professional		$32.34	$32.34	$1,011.75
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 $738.29 / $1,054.70 / $1,570.75	Professional		$738.29	$1,054.70	$1,570.75