Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.10 / $2,110.31 / $8,229.00	Facility		$445.10	$2,110.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.64 / $1,949.91 / $2,896.50	Professional		$428.64	$1,949.91	$2,896.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,567.00 / $4,114.00 / $7,848.00	Facility		$2,567.00	$4,114.00	$7,848.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.41 / $1,539.39 / $2,262.10	Professional		$360.41	$1,539.39	$2,262.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.73 / $566.50 / $653.49	Facility		$412.73	$566.50	$653.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.34 / $589.67 / $2,876.49	Professional		$465.34	$589.67	$2,876.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.54 / $744.54 / $744.54	Facility		$744.54	$744.54	$744.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.04 / $2,084.61 / $4,070.93	Professional		$521.04	$2,084.61	$4,070.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $8,794.29 / $16,855.00	Facility		$1,168.00	$8,794.29	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,307.48 / $3,204.17 / $4,414.68	Professional		$2,307.48	$3,204.17	$4,414.68