Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,357.04 / $8,229.00	Facility		$860.00	$1,357.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.42 / $1,079.55 / $1,389.70	Professional		$928.42	$1,079.55	$1,389.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.68 / $1,093.63 / $1,637.80	Professional		$875.68	$1,093.63	$1,637.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $997.04 / $1,438.67 / $1,659.61	Facility		$997.04	$1,438.67	$1,659.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.61 / $1,409.62 / $2,055.23	Professional		$1,027.61	$1,409.62	$2,055.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $1,260.32 / $1,336.26	Facility		$1,260.32	$1,260.32	$1,336.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.95 / $1,510.92 / $2,203.86	Professional		$1,090.95	$1,510.92	$2,203.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,335.91	Professional		$32.34	$32.34	$1,335.91
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 $993.48 / $1,412.78 / $2,119.12	Professional		$993.48	$1,412.78	$2,119.12