Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,019.37 / $5,320.00	Facility		$787.00	$1,019.37	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.23 / $975.79 / $1,118.00	Professional		$843.23	$975.79	$1,118.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.52 / $1,057.80 / $1,337.24	Professional		$865.52	$1,057.80	$1,337.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.24 / $1,297.38 / $1,496.63	Facility		$900.24	$1,297.38	$1,496.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.85 / $1,297.38 / $1,853.40	Professional		$905.85	$1,297.38	$1,853.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.50 / $1,409.32 / $2,046.45	Professional		$950.50	$1,409.32	$2,046.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,204.71	Professional		$32.34	$32.34	$1,204.71
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.95 / $1,277.18 / $2,046.45	Professional		$981.95	$1,277.18	$2,046.45