Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,354.00 / $2,747.00	Facility		$787.00	$1,354.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.05 / $1,126.33 / $1,525.27	Professional		$957.05	$1,126.33	$1,525.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.15 / $1,146.94 / $1,608.20	Professional		$935.15	$1,146.94	$1,608.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,006.88 / $1,466.84 / $1,692.10	Facility		$1,006.88	$1,466.84	$1,692.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,024.17 / $1,466.84 / $2,095.48	Professional		$1,024.17	$1,466.84	$2,095.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,375.03	Facility		$1,285.67	$1,285.67	$1,375.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.38 / $1,573.65 / $2,306.83	Professional		$1,100.38	$1,573.65	$2,306.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,362.06	Professional		$32.34	$32.34	$1,362.06
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.21 / $1,479.44 / $2,232.89	Professional		$1,047.21	$1,479.44	$2,232.89