Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.13 / $1,309.61 / $8,229.00	Facility		$858.13	$1,309.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.13 / $998.18 / $1,309.61	Professional		$858.13	$998.18	$1,309.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.26 / $1,002.63 / $1,496.75	Professional		$818.26	$1,002.63	$1,496.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $922.55 / $1,330.01 / $1,534.27	Facility		$922.55	$1,330.01	$1,534.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,044.94 / $1,330.01 / $1,900.02	Professional		$1,044.94	$1,330.01	$1,900.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $1,289.56	Facility		$1,165.18	$1,165.18	$1,289.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.38 / $1,373.20 / $2,137.19	Professional		$1,007.38	$1,373.20	$2,137.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,235.01	Professional		$32.34	$32.34	$1,235.01
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 $915.44 / $1,297.27 / $1,956.79	Professional		$915.44	$1,297.27	$1,956.79