Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,398.83	Professional		$1,174.90	$1,380.38	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,511.38	Facility		$2,344.23	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,089.30	Professional		$1,122.02	$1,380.38	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,187.76	Facility		$1,230.27	$1,698.24	$2,187.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,089.30	Professional		$1,230.27	$1,698.24	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,290.87	Facility		$1,862.09	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $9,549.93	Professional		$1,445.44	$2,290.87	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,691.53	Professional		$1,174.90	$1,621.81	$2,691.53