Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.96 / $1,393.57 / $8,229.00	Facility		$951.96	$1,393.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.96 / $1,108.44 / $1,393.57	Professional		$951.96	$1,108.44	$1,393.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.73 / $1,130.44 / $1,697.20	Professional		$930.73	$1,130.44	$1,697.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,020.40 / $1,472.60 / $1,698.75	Facility		$1,020.40	$1,472.60	$1,698.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,051.85 / $1,446.48 / $2,103.71	Professional		$1,051.85	$1,446.48	$2,103.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.18 / $1,294.18 / $1,372.23	Facility		$1,294.18	$1,294.18	$1,372.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.90 / $1,516.83 / $2,337.01	Professional		$1,122.90	$1,516.83	$2,337.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,367.42	Professional		$32.34	$32.34	$1,367.42
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 $1,056.46 / $1,467.05 / $2,187.56	Professional		$1,056.46	$1,467.05	$2,187.56