Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,553.84 / $8,229.00	Facility		$860.00	$1,553.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.55 / $1,090.85 / $1,553.84	Professional		$938.55	$1,090.85	$1,553.84
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 $936.98 / $1,135.41 / $1,657.26	Professional		$936.98	$1,135.41	$1,657.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.12 / $1,453.77 / $1,677.04	Facility		$1,007.12	$1,453.77	$1,677.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.05 / $1,453.77 / $2,076.82	Professional		$1,015.05	$1,453.77	$2,076.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $1,273.64 / $1,530.03	Facility		$1,273.64	$1,273.64	$1,530.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.66 / $1,584.95 / $2,348.94	Professional		$1,102.66	$1,584.95	$2,348.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,349.93	Professional		$32.34	$32.34	$1,349.93
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 $1,082.05 / $1,557.50 / $2,140.36	Professional		$1,082.05	$1,557.50	$2,140.36