Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.59 / $1,287.10 / $8,229.00	Facility		$935.59	$1,287.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.59 / $1,089.98 / $1,287.10	Professional		$935.59	$1,089.98	$1,287.10
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 $892.76 / $1,084.53 / $1,590.20	Professional		$892.76	$1,084.53	$1,590.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.99 / $1,447.81 / $1,670.16	Facility		$1,005.99	$1,447.81	$1,670.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,010.88 / $1,447.81 / $2,068.30	Professional		$1,010.88	$1,447.81	$2,068.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.39 / $1,272.28 / $1,272.28	Facility		$1,267.39	$1,272.28	$1,272.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.29 / $1,552.34 / $2,113.96	Professional		$1,102.29	$1,552.34	$2,113.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,344.40	Professional		$32.34	$32.34	$1,344.40
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 $988.33 / $1,406.48 / $2,133.53	Professional		$988.33	$1,406.48	$2,133.53