Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.12 / $979.33 / $5,320.00	Facility		$767.12	$979.33	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.12 / $890.80 / $1,085.79	Professional		$767.12	$890.80	$1,085.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.83 / $854.92 / $1,272.13	Professional		$685.83	$854.92	$1,272.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $863.67 / $1,246.42 / $1,437.84	Facility		$863.67	$1,246.42	$1,437.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $890.30 / $1,246.42 / $1,780.60	Professional		$890.30	$1,246.42	$1,780.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.33 / $1,090.33 / $1,170.74	Facility		$1,090.33	$1,090.33	$1,170.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.65 / $1,222.88 / $1,842.76	Professional		$925.65	$1,222.88	$1,842.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,157.39	Professional		$32.34	$32.34	$1,157.39
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 $890.74 / $1,187.33 / $1,963.64	Professional		$890.74	$1,187.33	$1,963.64