Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,342.67 / $5,320.00	Facility		$787.00	$1,342.67	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.52 / $1,167.21 / $1,342.67	Professional		$1,019.52	$1,167.21	$1,342.67
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 $744.49 / $1,039.01 / $1,662.08	Professional		$744.49	$1,039.01	$1,662.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,103.06 / $1,569.41 / $1,810.43	Facility		$1,103.06	$1,569.41	$1,810.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,121.01 / $1,556.37 / $2,242.02	Professional		$1,121.01	$1,556.37	$2,242.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.93 / $1,370.78 / $1,370.78	Facility		$1,300.93	$1,370.78	$1,370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.07 / $1,728.61 / $2,512.62	Professional		$1,162.07	$1,728.61	$2,512.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,457.31	Professional		$32.34	$32.34	$1,457.31
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 $1,167.93 / $1,670.98 / $2,616.11	Professional		$1,167.93	$1,670.98	$2,616.11