Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,021.68 / $8,229.00	Facility		$637.00	$1,021.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.11 / $858.35 / $1,039.30	Professional		$830.11	$858.35	$1,039.30
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 $733.64 / $889.00 / $1,275.40	Professional		$733.64	$889.00	$1,275.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.99 / $1,089.06 / $1,256.32	Facility		$793.99	$1,089.06	$1,256.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $894.59 / $1,089.06 / $1,555.80	Professional		$894.59	$1,089.06	$1,555.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.10 / $955.43 / $955.43	Facility		$875.10	$955.43	$955.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.47 / $1,204.83 / $1,792.46	Professional		$814.47	$1,204.83	$1,792.46
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 $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 $750.53 / $1,082.38 / $1,647.91	Professional		$750.53	$1,082.38	$1,647.91