Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,370.26 / $8,229.00	Facility		$896.00	$1,370.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.19 / $1,059.34 / $1,723.95	Professional		$911.19	$1,059.34	$1,723.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.21 / $1,084.88 / $1,621.29	Professional		$876.21	$1,084.88	$1,621.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.66 / $1,411.93 / $1,628.76	Facility		$978.66	$1,411.93	$1,628.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.52 / $1,411.93 / $2,017.04	Professional		$1,008.52	$1,411.93	$2,017.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $1,236.73 / $1,349.26	Facility		$1,236.73	$1,236.73	$1,349.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.15 / $1,460.72 / $2,244.23	Professional		$1,072.15	$1,460.72	$2,244.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,311.08	Professional		$32.34	$32.34	$1,311.08
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 $988.20 / $1,318.37 / $2,090.08	Professional		$988.20	$1,318.37	$2,090.08