Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,221.57 / $2,747.00	Facility		$787.00	$1,221.57	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.14 / $923.80 / $1,221.57	Professional		$806.14	$923.80	$1,221.57
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 $859.08 / $1,051.24 / $1,490.27	Professional		$859.08	$1,051.24	$1,490.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.17 / $1,305.39 / $1,505.86	Facility		$889.17	$1,305.39	$1,505.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $911.44 / $1,305.39 / $1,864.84	Professional		$911.44	$1,305.39	$1,864.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.56 / $1,145.56 / $1,509.73	Facility		$1,145.56	$1,145.56	$1,509.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.48 / $1,454.15 / $2,057.84	Professional		$1,024.48	$1,454.15	$2,057.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,212.15	Professional		$32.34	$32.34	$1,212.15
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 $949.09 / $1,363.70 / $1,805.15	Professional		$949.09	$1,363.70	$1,805.15