Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,157.53 / $9,311.00	Facility		$860.00	$1,157.53	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.94 / $1,106.94 / $1,316.46	Professional		$1,106.94	$1,106.94	$1,316.46
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 $998.72 / $1,174.97 / $1,834.83	Professional		$998.72	$1,174.97	$1,834.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.94 / $1,473.22 / $1,699.47	Facility		$1,080.94	$1,473.22	$1,699.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,208.77 / $1,473.22 / $2,104.60	Professional		$1,208.77	$1,473.22	$2,104.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,074.98 / $1,314.19 / $1,314.19	Facility		$1,074.98	$1,314.19	$1,314.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.64 / $1,488.78 / $2,653.31	Professional		$1,089.64	$1,488.78	$2,653.31
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 $1,086.44 / $1,541.82 / $2,271.08	Professional		$1,086.44	$1,541.82	$2,271.08