Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,633.62 / $8,229.00	Facility		$860.00	$1,633.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.09 / $1,082.95 / $1,633.62	Professional		$938.09	$1,082.95	$1,633.62
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 $921.27 / $1,106.65 / $1,558.05	Professional		$921.27	$1,106.65	$1,558.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,036.95 / $1,453.31 / $1,676.50	Facility		$1,036.95	$1,453.31	$1,676.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.08 / $1,453.31 / $2,076.16	Professional		$1,038.08	$1,453.31	$2,076.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,608.59	Facility		$1,273.91	$1,273.91	$1,608.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.58 / $1,561.55 / $2,176.02	Professional		$1,061.58	$1,561.55	$2,176.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,349.50	Professional		$32.34	$32.34	$1,349.50
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 $1,010.42 / $1,422.64 / $2,169.64	Professional		$1,010.42	$1,422.64	$2,169.64