Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $909.53 / $2,747.00	Facility		$764.00	$909.53	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $869.99 / $983.42	Professional		$764.00	$869.99	$983.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,389.00 / $8,517.00	Facility		$1,643.00	$3,389.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.64 / $746.12 / $1,147.95	Professional		$589.64	$746.12	$1,147.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $835.32 / $1,248.34 / $1,440.07	Facility		$835.32	$1,248.34	$1,440.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.68 / $1,248.34 / $1,783.36	Professional		$891.68	$1,248.34	$1,783.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,081.94 / $1,094.21 / $1,094.21	Facility		$1,081.94	$1,094.21	$1,094.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.19 / $1,097.76 / $1,721.94	Professional		$818.19	$1,097.76	$1,721.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,159.18	Professional		$32.34	$32.34	$1,159.18
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.49 / $1,004.76 / $1,585.82	Professional		$793.49	$1,004.76	$1,585.82