Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,404.70 / $10,152.00	Facility		$896.00	$1,404.70	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.36 / $1,182.95 / $1,404.70	Professional		$1,116.36	$1,182.95	$1,404.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.63 / $1,235.56 / $1,699.60	Professional		$1,019.63	$1,235.56	$1,699.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.02 / $1,584.48 / $1,827.80	Facility		$1,162.02	$1,584.48	$1,827.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,243.35 / $1,584.48 / $2,263.54	Professional		$1,243.35	$1,584.48	$2,263.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,402.55 / $1,402.55 / $1,418.87	Facility		$1,402.55	$1,402.55	$1,418.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.36 / $1,579.17 / $2,609.23	Professional		$1,199.36	$1,579.17	$2,609.23
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.07 / $1,519.06 / $2,391.80	Professional		$1,083.07	$1,519.06	$2,391.80