Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.14 / $1,101.58 / $8,229.00	Facility		$694.14	$1,101.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.14 / $807.88 / $1,101.58	Professional		$694.14	$807.88	$1,101.58
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 $642.30 / $803.82 / $1,200.65	Professional		$642.30	$803.82	$1,200.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $749.19 / $1,077.33 / $1,242.79	Facility		$749.19	$1,077.33	$1,242.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.22 / $1,077.33 / $1,539.06	Professional		$752.22	$1,077.33	$1,539.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $1,084.71	Facility		$946.32	$946.32	$1,084.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.82 / $1,112.07 / $1,716.34	Professional		$805.82	$1,112.07	$1,716.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,000.39	Professional		$32.34	$32.34	$1,000.39
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.14 / $1,034.02 / $1,558.98	Professional		$732.14	$1,034.02	$1,558.98