Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,311.88 / $10,152.00	Facility		$896.00	$1,311.88	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.72 / $1,255.05 / $1,502.96	Professional		$1,188.72	$1,255.05	$1,502.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.99 / $982.72 / $1,682.11	Professional		$810.99	$982.72	$1,682.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,216.48 / $1,669.67 / $1,926.09	Facility		$1,216.48	$1,669.67	$1,926.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,165.79 / $1,669.67 / $2,385.23	Professional		$1,165.79	$1,669.67	$2,385.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.41 / $1,503.96 / $1,503.96	Facility		$1,025.41	$1,503.96	$1,503.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.36 / $1,516.40 / $2,390.61	Professional		$1,148.36	$1,516.40	$2,390.61
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.94 / $1,530.62 / $2,294.09	Professional		$1,109.94	$1,530.62	$2,294.09