Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,105.90 / $2,766.60	Facility		$787.00	$1,105.90	$2,766.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $1,034.74 / $1,535.42	Professional		$817.67	$1,034.74	$1,535.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.64 / $829.74 / $1,352.25	Professional		$684.64	$829.74	$1,352.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,026.96 / $1,244.60 / $2,028.37	Professional	50	$1,026.96	$1,244.60	$2,028.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.49 / $1,276.32 / $1,458.66	Facility		$912.49	$1,276.32	$1,458.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $911.66 / $1,276.32 / $1,823.32	Professional		$911.66	$1,276.32	$1,823.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.72 / $1,153.51 / $1,728.48	Facility		$891.72	$1,153.51	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.61 / $1,084.72 / $1,945.32	Professional		$814.61	$1,084.72	$1,945.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $577.65	Professional		$32.34	$32.34	$577.65
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.45 / $1,035.99 / $1,585.63	Professional		$778.45	$1,035.99	$1,585.63