Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,287.71 / $10,152.00	Facility		$896.00	$1,287.71	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.92 / $1,208.39 / $1,420.94	Professional		$1,139.92	$1,208.39	$1,420.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.77 / $1,183.61 / $1,720.33	Professional		$976.77	$1,183.61	$1,720.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,177.24 / $1,615.81 / $1,863.96	Facility		$1,177.24	$1,615.81	$1,863.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,269.46 / $1,615.81 / $2,308.30	Professional		$1,269.46	$1,615.81	$2,308.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.69 / $1,440.21 / $1,440.21	Facility		$1,300.69	$1,440.21	$1,440.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.06 / $1,577.89 / $2,502.98	Professional		$1,190.06	$1,577.89	$2,502.98
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 $1,086.45 / $1,481.44 / $2,268.35	Professional		$1,086.45	$1,481.44	$2,268.35