Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,314.26 / $8,229.00	Facility		$787.00	$1,314.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.25 / $1,447.91 / $1,828.29	Professional		$1,247.25	$1,447.91	$1,828.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.85 / $912.94 / $1,605.79	Professional		$767.85	$912.94	$1,605.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.73 / $1,672.69 / $1,929.56	Facility		$1,238.73	$1,672.69	$1,929.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,194.78 / $1,672.69 / $2,389.56	Professional		$1,194.78	$1,672.69	$2,389.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.02 / $1,469.66 / $1,469.66	Facility		$1,179.02	$1,469.66	$1,469.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.14 / $1,541.73 / $2,276.46	Professional		$1,065.14	$1,541.73	$2,276.46
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 / $6,818.00 / $12,296.00	Facility		$973.00	$6,818.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.63 / $1,473.90 / $2,472.12	Professional		$1,027.63	$1,473.90	$2,472.12