Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,276.86 / $8,229.00	Facility		$787.00	$1,276.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.74 / $992.01 / $1,447.01	Professional		$918.74	$992.01	$1,447.01
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 $884.73 / $1,061.73 / $1,523.50	Professional		$884.73	$1,061.73	$1,523.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.96 / $1,254.95 / $1,447.67	Facility		$914.96	$1,254.95	$1,447.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $876.22 / $1,254.95 / $1,792.78	Professional		$876.22	$1,254.95	$1,792.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.13 / $1,100.32 / $1,100.32	Facility		$1,075.13	$1,100.32	$1,100.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.42 / $1,379.83 / $2,096.23	Professional		$937.42	$1,379.83	$2,096.23
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.46 / $1,365.25 / $1,829.50	Professional		$900.46	$1,365.25	$1,829.50