Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,486.00 / $5,320.00	Facility		$787.00	$1,486.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.92 / $960.62 / $1,167.13	Professional		$806.92	$960.62	$1,167.13
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 $790.99 / $978.58 / $1,335.46	Professional		$790.99	$978.58	$1,335.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.09 / $1,306.63 / $1,507.29	Facility		$901.09	$1,306.63	$1,507.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.64 / $1,306.63 / $1,866.62	Professional		$1,026.64	$1,306.63	$1,866.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.13 / $1,140.13 / $1,352.30	Facility		$1,140.13	$1,140.13	$1,352.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.99 / $1,373.41 / $1,922.93	Professional		$949.99	$1,373.41	$1,922.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,213.30	Professional		$32.34	$32.34	$1,213.30
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 $949.41 / $1,280.02 / $1,804.48	Professional		$949.41	$1,280.02	$1,804.48