Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,208.01 / $9,311.00	Facility		$860.00	$1,208.01	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.70 / $1,141.15 / $1,319.06	Professional		$1,076.70	$1,141.15	$1,319.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.63 / $979.88 / $1,546.46	Professional		$808.63	$979.88	$1,546.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,127.66 / $1,537.47 / $1,773.57	Facility		$1,127.66	$1,537.47	$1,773.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,206.59 / $1,537.47 / $2,196.38	Professional		$1,206.59	$1,537.47	$2,196.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.51 / $1,357.00 / $1,357.00	Facility		$1,197.51	$1,357.00	$1,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.32 / $1,356.17 / $2,093.64	Professional		$1,013.32	$1,356.17	$2,093.64
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 $977.02 / $1,240.88 / $2,094.94	Professional		$977.02	$1,240.88	$2,094.94