Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,117.46 / $9,311.00	Facility		$860.00	$1,117.46	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.21 / $1,065.08 / $1,228.79	Professional		$1,005.21	$1,065.08	$1,228.79
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 $867.42 / $1,051.11 / $1,500.63	Professional		$867.42	$1,051.11	$1,500.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.78 / $1,422.22 / $1,640.63	Facility		$1,042.78	$1,422.22	$1,640.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,162.94 / $1,422.22 / $2,031.74	Professional		$1,162.94	$1,422.22	$2,031.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.77 / $1,260.86 / $1,260.86	Facility		$1,076.77	$1,260.86	$1,260.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.92 / $1,420.68 / $2,290.73	Professional		$1,074.92	$1,420.68	$2,290.73
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 $961.61 / $1,378.31 / $2,076.27	Professional		$961.61	$1,378.31	$2,076.27