Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,491.30 / $2,747.00	Facility		$787.00	$1,491.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.54 / $1,374.33 / $1,592.67	Professional		$1,225.54	$1,374.33	$1,592.67
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 $903.11 / $1,169.08 / $1,888.73	Professional		$903.11	$1,169.08	$1,888.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,312.57 / $1,898.02 / $2,189.50	Facility		$1,312.57	$1,898.02	$2,189.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,490.33 / $1,898.02 / $2,711.46	Professional		$1,490.33	$1,898.02	$2,711.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.90 / $1,662.01 / $1,662.01	Facility		$1,264.90	$1,662.01	$1,662.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.15 / $1,625.76 / $2,807.37	Professional		$1,073.15	$1,625.76	$2,807.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,762.45	Professional		$32.34	$32.34	$1,762.45
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.03 / $1,647.09 / $2,915.41	Professional		$930.03	$1,647.09	$2,915.41