Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,236.83 / $9,311.00	Facility		$860.00	$1,236.83	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.97 / $1,182.97 / $1,369.34	Professional		$1,182.97	$1,182.97	$1,369.34
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 $1,060.00 / $1,247.07 / $1,958.93	Professional		$1,060.00	$1,247.07	$1,958.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.52 / $1,574.15 / $1,815.89	Facility		$1,154.52	$1,574.15	$1,815.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,099.08 / $1,574.15 / $2,529.88	Professional		$1,099.08	$1,574.15	$2,529.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.66 / $1,401.05 / $1,401.05	Facility		$1,161.66	$1,401.05	$1,401.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.83 / $1,584.47 / $2,797.19	Professional		$1,163.83	$1,584.47	$2,797.19
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 $1,039.42 / $1,546.74 / $2,295.83	Professional		$1,039.42	$1,546.74	$2,295.83