Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,621.81	Professional		$977.24	$1,148.15	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,511.38	Facility		$2,290.87	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,584.89	Professional		$758.58	$891.25	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,513.56	Facility		$933.25	$1,148.15	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,548.82	Professional		$1,023.29	$1,318.26	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,290.87	Facility		$1,737.80	$1,737.80	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $4,897.79	Professional		$870.96	$1,584.89	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,819.70	Professional		$812.83	$1,047.13	$1,819.70