Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,416.89 / $2,747.00	Facility		$787.00	$1,416.89	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.30 / $1,266.84 / $1,601.44	Professional		$1,123.30	$1,266.84	$1,601.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.35 / $1,076.07 / $1,739.79	Professional		$891.35	$1,076.07	$1,739.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,275.02 / $1,843.69 / $2,126.82	Facility		$1,275.02	$1,843.69	$2,126.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,287.29 / $1,843.69 / $2,633.84	Professional		$1,287.29	$1,843.69	$2,633.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.58 / $1,614.43 / $1,614.43	Facility		$1,231.58	$1,614.43	$1,614.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.83 / $1,588.65 / $2,540.66	Professional		$1,148.83	$1,588.65	$2,540.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,712.00	Professional		$32.34	$32.34	$1,712.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.72 / $1,535.55 / $2,738.18	Professional		$1,015.72	$1,535.55	$2,738.18