Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,583.99 / $2,747.00	Facility		$787.00	$1,583.99	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.59 / $1,694.24 / $2,287.21	Professional		$1,077.59	$1,694.24	$2,287.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $1,423.70 / $2,162.52	Professional		$0.39	$1,423.70	$2,162.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,468.79 / $2,015.99 / $2,325.58	Facility		$1,468.79	$2,015.99	$2,325.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,439.99 / $2,015.99 / $2,879.98	Professional		$1,439.99	$2,015.99	$2,879.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,979.68 / $1,979.68 / $1,979.68	Facility		$1,979.68	$1,979.68	$1,979.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.07 / $2,064.67 / $3,850.03	Professional		$1,356.07	$2,064.67	$3,850.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,871.99	Professional		$32.34	$32.34	$1,871.99
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.64 / $1,982.02 / $3,535.59	Professional		$1,286.64	$1,982.02	$3,535.59