Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,025.57 / $5,320.00	Facility		$787.00	$1,025.57	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.45 / $939.96 / $1,063.90	Professional		$843.45	$939.96	$1,063.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.81 / $940.04 / $1,298.79	Professional		$779.81	$940.04	$1,298.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $903.86 / $1,305.28 / $1,505.73	Facility		$903.86	$1,305.28	$1,505.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $932.34 / $1,305.28 / $1,864.68	Professional		$932.34	$1,305.28	$1,864.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,143.33 / $1,143.33	Facility		$1,143.33	$1,143.33	$1,143.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.78 / $1,323.98 / $1,997.47	Professional		$952.78	$1,323.98	$1,997.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,212.04	Professional		$32.34	$32.34	$1,212.04
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.66 / $1,282.67 / $1,911.68	Professional		$921.66	$1,282.67	$1,911.68