Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.47 / $1,199.02 / $9,311.00	Facility		$846.47	$1,199.02	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.19 / $1,149.41 / $1,379.92	Professional		$1,088.19	$1,149.41	$1,379.92
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 $689.35 / $835.33 / $1,482.94	Professional		$689.35	$835.33	$1,482.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,526.03 / $1,760.39	Facility		$1,124.08	$1,526.03	$1,760.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.77 / $1,526.03 / $2,180.04	Professional		$1,202.77	$1,526.03	$2,180.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.01 / $1,380.93 / $1,380.93	Facility		$855.01	$1,380.93	$1,380.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.32 / $1,320.73 / $2,142.00	Professional		$986.32	$1,320.73	$2,142.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.89 / $1,275.80 / $2,087.58	Professional		$988.89	$1,275.80	$2,087.58