Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,326.35 / $2,747.00	Facility		$787.00	$1,326.35	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.76 / $986.42 / $1,326.35	Professional		$856.76	$986.42	$1,326.35
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 $731.42 / $898.88 / $1,413.42	Professional		$731.42	$898.88	$1,413.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.67 / $1,311.81 / $1,513.27	Facility		$904.67	$1,311.81	$1,513.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.73 / $1,311.81 / $1,874.02	Professional		$887.73	$1,311.81	$1,874.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.96 / $1,151.96 / $1,306.03	Facility		$1,151.96	$1,151.96	$1,306.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.25 / $1,340.24 / $2,143.78	Professional		$982.25	$1,340.24	$2,143.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,218.10	Professional		$32.34	$32.34	$1,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.27 / $1,186.17 / $1,940.02	Professional		$858.27	$1,186.17	$1,940.02