Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.90 / $1,015.25 / $8,229.00	Facility		$741.90	$1,015.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $761.89 / $956.95	Professional		$741.90	$761.89	$956.95
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 $709.75 / $855.07 / $1,179.70	Professional		$709.75	$855.07	$1,179.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.86 / $1,013.15 / $1,168.75	Facility		$738.86	$1,013.15	$1,168.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.40 / $1,013.15 / $1,447.36	Professional		$707.40	$1,013.15	$1,447.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.85 / $888.07 / $888.07	Facility		$854.85	$888.07	$888.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.49 / $1,102.06 / $1,688.83	Professional		$756.49	$1,102.06	$1,688.83
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 $757.86 / $1,101.28 / $1,622.17	Professional		$757.86	$1,101.28	$1,622.17