Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.25 / $1,608.29 / $8,229.00	Facility		$911.25	$1,608.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.25 / $1,073.43 / $1,463.55	Professional		$911.25	$1,073.43	$1,463.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.26 / $1,058.70 / $1,440.54	Professional		$875.26	$1,058.70	$1,440.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.78 / $1,431.36 / $1,651.18	Facility		$994.78	$1,431.36	$1,651.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,124.64 / $1,431.36 / $2,044.80	Professional		$1,124.64	$1,431.36	$2,044.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.72 / $1,256.56 / $1,256.56	Facility		$1,144.72	$1,256.56	$1,256.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.73 / $1,472.07 / $2,058.34	Professional		$1,043.73	$1,472.07	$2,058.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,329.12	Professional		$32.34	$32.34	$1,329.12
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 $1,004.04 / $1,367.81 / $2,075.32	Professional		$1,004.04	$1,367.81	$2,075.32