Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,341.57 / $8,229.00	Facility		$860.00	$1,341.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.76 / $1,124.42 / $1,350.26	Professional		$983.76	$1,124.42	$1,350.26
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 $881.50 / $1,049.29 / $1,656.05	Professional		$881.50	$1,049.29	$1,656.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.16 / $1,310.68 / $1,511.96	Facility		$962.16	$1,310.68	$1,511.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.20 / $1,310.68 / $1,872.40	Professional		$936.20	$1,310.68	$1,872.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.59 / $1,151.59 / $1,600.91	Facility		$1,151.59	$1,151.59	$1,600.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.68 / $1,510.56 / $2,287.12	Professional		$1,192.68	$1,510.56	$2,287.12
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.45 / $1,430.60 / $2,022.80	Professional		$990.45	$1,430.60	$2,022.80