Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,096.83 / $8,229.00	Facility		$860.00	$1,096.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $1,047.36 / $1,738.51	Professional		$906.90	$1,047.36	$1,738.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.59 / $963.82 / $1,415.23	Professional		$792.59	$963.82	$1,415.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.50 / $1,395.98 / $1,610.36	Facility		$973.50	$1,395.98	$1,610.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.22 / $1,395.98 / $1,994.26	Professional		$1,096.22	$1,395.98	$1,994.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.40 / $1,224.95 / $1,224.95	Facility		$1,028.40	$1,224.95	$1,224.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.67 / $1,333.40 / $2,050.04	Professional		$1,028.67	$1,333.40	$2,050.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,296.27	Professional		$32.34	$32.34	$1,296.27
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 $944.42 / $1,331.25 / $2,085.05	Professional		$944.42	$1,331.25	$2,085.05