Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,126.15 / $2,747.00	Facility		$787.00	$1,126.15	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.83 / $1,036.21 / $1,165.93	Professional		$779.83	$1,036.21	$1,165.93
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 $387.19 / $685.38 / $1,157.93	Professional		$387.19	$685.38	$1,157.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $992.32 / $1,433.28 / $1,653.38	Facility		$992.32	$1,433.28	$1,653.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.74 / $1,433.28 / $2,047.54	Professional		$1,000.74	$1,433.28	$2,047.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.28 / $1,254.85 / $1,254.85	Facility		$809.28	$1,254.85	$1,254.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.17 / $1,103.35 / $1,815.68	Professional		$766.17	$1,103.35	$1,815.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,330.90	Professional		$32.34	$32.34	$1,330.90
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 $691.10 / $1,239.96 / $2,096.91	Professional		$691.10	$1,239.96	$2,096.91