Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,150.15 / $5,320.00	Facility		$787.00	$1,150.15	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.90 / $994.74 / $1,219.99	Professional		$865.90	$994.74	$1,219.99
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 $828.92 / $1,023.97 / $1,398.93	Professional		$828.92	$1,023.97	$1,398.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.24 / $1,354.99 / $1,563.07	Facility		$938.24	$1,354.99	$1,563.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $967.85 / $1,306.59 / $1,935.70	Professional		$967.85	$1,306.59	$1,935.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.76 / $1,191.76 / $1,421.46	Facility		$1,191.76	$1,191.76	$1,421.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.13 / $1,434.95 / $2,005.56	Professional		$993.13	$1,434.95	$2,005.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,258.21	Professional		$32.34	$32.34	$1,258.21
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 $1,001.06 / $1,343.30 / $1,887.64	Professional		$1,001.06	$1,343.30	$1,887.64