Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,686.75 / $8,229.00	Facility		$860.00	$1,686.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.91 / $1,097.07 / $1,686.75	Professional		$943.91	$1,097.07	$1,686.75
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 $983.75 / $1,192.08 / $1,683.23	Professional		$983.75	$1,192.08	$1,683.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.95 / $1,462.37 / $1,686.95	Facility		$1,012.95	$1,462.37	$1,686.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,021.05 / $1,462.37 / $2,089.10	Professional		$1,021.05	$1,462.37	$2,089.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.88 / $1,280.88 / $1,660.91	Facility		$1,280.88	$1,280.88	$1,660.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.47 / $1,614.52 / $2,357.44	Professional		$1,126.47	$1,614.52	$2,357.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,357.92	Professional		$32.34	$32.34	$1,357.92
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 $1,088.13 / $1,495.39 / $2,253.44	Professional		$1,088.13	$1,495.39	$2,253.44