Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,083.52 / $8,229.00	Facility		$637.00	$1,083.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.26 / $1,027.82 / $1,234.78	Professional		$975.26	$1,027.82	$1,234.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.51 / $1,121.51 / $1,546.30	Professional		$925.51	$1,121.51	$1,546.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,008.17 / $1,379.03 / $1,590.81	Facility		$1,008.17	$1,379.03	$1,590.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,083.52 / $1,379.03 / $2,216.30	Professional		$1,083.52	$1,379.03	$2,216.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,218.23 / $1,218.23 / $1,247.24	Facility		$1,218.23	$1,218.23	$1,247.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.74 / $1,500.19 / $2,337.44	Professional		$1,091.74	$1,500.19	$2,337.44
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $931.97 / $1,420.23 / $2,084.07	Professional		$931.97	$1,420.23	$2,084.07