Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,062.23 / $2,747.00	Facility		$787.00	$1,062.23	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $981.63 / $1,241.39	Professional		$817.01	$981.63	$1,241.39
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 $780.58 / $979.34 / $1,378.96	Professional		$780.58	$979.34	$1,378.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $939.65 / $1,351.92 / $1,559.54	Facility		$939.65	$1,351.92	$1,559.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $965.66 / $1,351.92 / $1,931.32	Professional		$965.66	$1,351.92	$1,931.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.78 / $1,179.78 / $1,179.78	Facility		$1,179.78	$1,179.78	$1,179.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.05 / $1,375.42 / $2,123.07	Professional		$964.05	$1,375.42	$2,123.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,255.35	Professional		$32.34	$32.34	$1,255.35
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 $969.71 / $1,321.11 / $2,084.23	Professional		$969.71	$1,321.11	$2,084.23