Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,356.32 / $8,229.00	Facility		$860.00	$1,356.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.92 / $1,223.26 / $1,643.21	Professional		$1,049.92	$1,223.26	$1,643.21
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 $962.26 / $1,198.82 / $1,645.39	Professional		$962.26	$1,198.82	$1,645.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,133.66 / $1,632.19 / $1,882.84	Facility		$1,133.66	$1,632.19	$1,882.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,139.61 / $1,632.19 / $2,331.69	Professional		$1,139.61	$1,632.19	$2,331.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.55 / $1,431.77 / $1,431.77	Facility		$1,335.55	$1,431.77	$1,431.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.69 / $1,684.03 / $2,346.32	Professional		$1,223.69	$1,684.03	$2,346.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,515.61	Professional		$32.34	$32.34	$1,515.61
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.44 / $1,581.78 / $2,369.82	Professional		$1,109.44	$1,581.78	$2,369.82