Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,126.07 / $5,320.00	Facility		$787.00	$1,126.07	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.18 / $998.45 / $1,194.10	Professional		$877.18	$998.45	$1,194.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.00 / $831.06 / $1,263.13	Professional		$654.00	$831.06	$1,263.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $956.81 / $1,433.18 / $1,653.29	Facility		$956.81	$1,433.18	$1,653.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.70 / $1,433.18 / $2,047.40	Professional		$1,023.70	$1,433.18	$2,047.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.50 / $1,255.83 / $1,255.83	Facility		$1,174.50	$1,255.83	$1,255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.12 / $1,201.88 / $1,819.25	Professional		$948.12	$1,201.88	$1,819.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,330.81	Professional		$32.34	$32.34	$1,330.81
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.41 / $1,175.05 / $1,850.55	Professional		$878.41	$1,175.05	$1,850.55