Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,011.67 / $8,229.00	Facility		$637.00	$1,011.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.67 / $985.69 / $1,219.04	Professional		$943.67	$985.69	$1,219.04
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 $905.95 / $1,097.80 / $1,563.20	Professional		$905.95	$1,097.80	$1,563.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.66 / $1,287.58 / $1,485.33	Facility		$938.66	$1,287.58	$1,485.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,011.67 / $1,287.58 / $1,839.40	Professional		$1,011.67	$1,287.58	$1,839.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,081.68 / $1,129.83 / $1,129.83	Facility		$1,081.68	$1,129.83	$1,129.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.61 / $1,440.76 / $2,211.12	Professional		$964.61	$1,440.76	$2,211.12
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 $919.10 / $1,341.66 / $1,951.80	Professional		$919.10	$1,341.66	$1,951.80