Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,452.17 / $8,229.00	Facility		$860.00	$1,452.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.70 / $1,136.56 / $1,452.17	Professional		$982.70	$1,136.56	$1,452.17
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 $933.69 / $1,111.41 / $1,631.49	Professional		$933.69	$1,111.41	$1,631.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.17 / $1,501.30 / $1,731.87	Facility		$1,049.17	$1,501.30	$1,731.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.59 / $1,501.30 / $2,144.71	Professional		$1,179.59	$1,501.30	$2,144.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.96 / $1,330.96 / $1,429.92	Facility		$1,330.96	$1,330.96	$1,429.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.88 / $1,552.16 / $2,328.88	Professional		$1,103.88	$1,552.16	$2,328.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,394.07	Professional		$32.34	$32.34	$1,394.07
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 $1,050.53 / $1,500.43 / $2,150.04	Professional		$1,050.53	$1,500.43	$2,150.04