Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,233.91 / $8,229.00	Facility		$896.00	$1,233.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.77 / $1,057.75 / $1,233.91	Professional		$909.77	$1,057.75	$1,233.91
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 $883.95 / $1,068.86 / $1,527.80	Professional		$883.95	$1,068.86	$1,527.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $976.76 / $1,408.95 / $1,625.32	Facility		$976.76	$1,408.95	$1,625.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,006.39 / $1,381.51 / $2,012.78	Professional		$1,006.39	$1,381.51	$2,012.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.01 / $1,234.82 / $1,234.82	Facility		$1,215.01	$1,234.82	$1,234.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.08 / $1,448.14 / $2,050.84	Professional		$1,063.08	$1,448.14	$2,050.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,308.31	Professional		$32.34	$32.34	$1,308.31
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 $975.92 / $1,381.06 / $2,079.46	Professional		$975.92	$1,381.06	$2,079.46