Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,264.21 / $8,229.00	Facility		$860.00	$1,264.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.25 / $1,169.64 / $1,264.21	Professional		$1,002.25	$1,169.64	$1,264.21
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 $970.10 / $1,255.80 / $1,660.00	Professional		$970.10	$1,255.80	$1,660.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,067.48 / $1,496.94 / $1,777.62	Facility		$1,067.48	$1,496.94	$1,777.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,210.76 / $1,540.97 / $2,201.38	Professional		$1,210.76	$1,540.97	$2,201.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.25 / $1,364.20 / $1,364.20	Facility		$1,020.25	$1,364.20	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.25 / $1,491.05 / $2,748.88	Professional		$1,020.25	$1,491.05	$2,748.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.57 / $685.96 / $1,015.20	Professional		$509.57	$685.96	$1,015.20
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 $881.54 / $1,175.82 / $1,589.03	Professional		$881.54	$1,175.82	$1,589.03