Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.29 / $1,224.53 / $8,229.00	Facility		$852.29	$1,224.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.29 / $975.70 / $1,693.18	Professional		$852.29	$975.70	$1,693.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.00 / $8,584.00 / $11,253.00	Facility		$4,128.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.40 / $1,000.57 / $1,456.30	Professional		$812.40	$1,000.57	$1,456.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.96 / $1,311.65 / $1,513.08	Facility		$923.96	$1,311.65	$1,513.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.89 / $1,306.45 / $1,873.78	Professional		$936.89	$1,306.45	$1,873.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.48 / $1,146.48 / $1,168.01	Facility		$1,146.48	$1,146.48	$1,168.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.24 / $1,379.20 / $2,027.64	Professional		$994.24	$1,379.20	$2,027.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,217.96	Professional		$32.34	$32.34	$1,217.96
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 $919.48 / $1,305.08 / $2,002.79	Professional		$919.48	$1,305.08	$2,002.79