Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,379.65 / $8,229.00	Facility		$896.00	$1,379.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.60 / $1,086.34 / $1,379.65	Professional		$934.60	$1,086.34	$1,379.65
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 $912.33 / $1,105.73 / $1,615.00	Professional		$912.33	$1,105.73	$1,615.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.31 / $1,447.71 / $1,670.04	Facility		$1,003.31	$1,447.71	$1,670.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,034.08 / $1,447.71 / $2,068.16	Professional		$1,034.08	$1,447.71	$2,068.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $1,358.52	Facility		$1,268.30	$1,268.30	$1,358.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.97 / $1,487.94 / $2,158.86	Professional		$1,101.97	$1,487.94	$2,158.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,344.30	Professional		$32.34	$32.34	$1,344.30
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 $1,062.49 / $1,436.62 / $2,138.25	Professional		$1,062.49	$1,436.62	$2,138.25