Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,347.95 / $8,229.00	Facility		$860.00	$1,347.95	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.72 / $1,135.11 / $1,455.06	Professional		$986.72	$1,135.11	$1,455.06
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 $848.64 / $1,028.34 / $1,589.26	Professional		$848.64	$1,028.34	$1,589.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.79 / $1,313.13 / $1,514.79	Facility		$962.79	$1,313.13	$1,514.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.95 / $1,313.13 / $2,110.39	Professional		$937.95	$1,313.13	$2,110.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.83 / $1,154.83 / $1,608.52	Facility		$1,154.83	$1,154.83	$1,608.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.46 / $1,453.84 / $2,489.89	Professional		$1,095.46	$1,453.84	$2,489.89
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.20 / $1,539.02 / $2,133.94	Professional		$1,024.20	$1,539.02	$2,133.94