Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.32 / $1,360.63 / $8,229.00	Facility		$857.32	$1,360.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.32 / $997.32 / $1,360.63	Professional		$857.32	$997.32	$1,360.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.23 / $1,065.72 / $1,544.79	Professional		$870.23	$1,065.72	$1,544.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.66 / $1,325.34 / $1,528.87	Facility		$900.66	$1,325.34	$1,528.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $925.37 / $1,325.34 / $1,893.34	Professional		$925.37	$1,325.34	$1,893.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.19 / $1,164.19 / $1,339.79	Facility		$1,164.19	$1,164.19	$1,339.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.31 / $1,447.39 / $2,235.69	Professional		$1,056.31	$1,447.39	$2,235.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,230.67	Professional		$32.34	$32.34	$1,230.67
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.05 / $1,379.21 / $2,073.89	Professional		$973.05	$1,379.21	$2,073.89