Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,365.56 / $2,747.00	Facility		$787.00	$1,365.56	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.58 / $1,256.58 / $1,511.40	Professional		$929.58	$1,256.58	$1,511.40
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 $750.63 / $1,046.90 / $1,680.88	Professional		$750.63	$1,046.90	$1,680.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.86 / $1,737.99 / $2,004.90	Facility		$1,202.86	$1,737.99	$2,004.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,241.42 / $1,698.83 / $2,482.84	Professional		$1,241.42	$1,698.83	$2,482.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.22 / $1,521.54 / $1,521.54	Facility		$900.22	$1,521.54	$1,521.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.88 / $1,365.69 / $2,541.05	Professional		$828.88	$1,365.69	$2,541.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,613.85	Professional		$32.34	$32.34	$1,613.85
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 $767.36 / $1,457.59 / $2,540.25	Professional		$767.36	$1,457.59	$2,540.25