Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,620.09 / $8,229.00	Facility		$787.00	$1,620.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.54 / $1,620.09 / $1,935.68	Professional		$1,527.54	$1,620.09	$1,935.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.33 / $1,456.94 / $2,327.91	Professional		$1,202.33	$1,456.94	$2,327.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,588.38 / $2,161.05 / $2,492.92	Facility		$1,588.38	$2,161.05	$2,492.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,775.15 / $2,161.05 / $3,087.22	Professional		$1,775.15	$2,161.05	$3,087.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,575.67 / $1,939.78 / $1,939.78	Facility		$1,575.67	$1,939.78	$1,939.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $2,204.75 / $3,531.51	Professional		$1,575.67	$2,204.75	$3,531.51
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 $1,461.21 / $2,036.63 / $3,221.36	Professional		$1,461.21	$2,036.63	$3,221.36