Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,087.32 / $2,747.00	Facility		$787.00	$1,087.32	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.54 / $969.60 / $1,153.06	Professional		$843.54	$969.60	$1,153.06
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 $712.61 / $844.29 / $1,347.83	Professional		$712.61	$844.29	$1,347.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $918.66 / $1,305.70 / $1,506.21	Facility		$918.66	$1,305.70	$1,506.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $932.64 / $1,305.70 / $1,865.28	Professional		$932.64	$1,305.70	$1,865.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,070.66 / $1,145.08 / $1,145.08	Facility		$1,070.66	$1,145.08	$1,145.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.24 / $1,326.38 / $1,995.36	Professional		$954.24	$1,326.38	$1,995.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,212.43	Professional		$32.34	$32.34	$1,212.43
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 $780.86 / $1,211.73 / $2,139.88	Professional		$780.86	$1,211.73	$2,139.88