Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,504.09 / $8,229.00	Facility		$860.00	$1,504.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.47 / $1,255.30 / $1,504.09	Professional		$1,049.47	$1,255.30	$1,504.09
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 $762.44 / $991.74 / $1,734.60	Professional		$762.44	$991.74	$1,734.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.78 / $1,668.97 / $1,925.27	Facility		$1,160.78	$1,668.97	$1,925.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,165.30 / $1,668.97 / $2,384.23	Professional		$1,165.30	$1,668.97	$2,384.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,466.37 / $1,466.37 / $1,481.05	Facility		$1,466.37	$1,466.37	$1,481.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,723.45 / $2,417.60	Professional		$1,220.59	$1,723.45	$2,417.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,549.76	Professional		$32.34	$32.34	$1,549.76
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 $1,114.21 / $1,598.25 / $2,411.19	Professional		$1,114.21	$1,598.25	$2,411.19