Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.33 / $1,140.25 / $2,747.00	Facility		$737.33	$1,140.25	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.33 / $858.64 / $1,140.25	Professional		$737.33	$858.64	$1,140.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.89 / $861.13 / $1,297.55	Professional		$710.89	$861.13	$1,297.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.77 / $1,143.74 / $1,319.40	Facility		$794.77	$1,143.74	$1,319.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.91 / $1,143.74 / $1,633.92	Professional		$898.91	$1,143.74	$1,633.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.62 / $1,003.62 / $1,122.78	Facility		$1,003.62	$1,003.62	$1,122.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.26 / $1,203.59 / $1,826.37	Professional		$859.26	$1,203.59	$1,826.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,062.05	Professional		$32.34	$32.34	$1,062.05
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 $783.90 / $1,089.74 / $1,667.30	Professional		$783.90	$1,089.74	$1,667.30