Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,028.52 / $8,229.00	Facility		$637.00	$1,028.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.14 / $1,001.03 / $1,238.26	Professional		$958.14	$1,001.03	$1,238.26
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 $907.74 / $1,099.97 / $1,623.50	Professional		$907.74	$1,099.97	$1,623.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.37 / $1,309.03 / $1,510.06	Facility		$954.37	$1,309.03	$1,510.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,075.27 / $1,309.03 / $1,870.04	Professional		$1,075.27	$1,309.03	$1,870.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,109.82 / $1,147.67 / $1,147.67	Facility		$1,109.82	$1,147.67	$1,147.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.60 / $1,432.78 / $2,166.80	Professional		$979.60	$1,432.78	$2,166.80
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 $944.10 / $1,360.82 / $2,101.39	Professional		$944.10	$1,360.82	$2,101.39