Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,352.54 / $8,229.00	Facility		$860.00	$1,352.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.17 / $1,369.92 / $1,839.94	Professional		$1,210.17	$1,369.92	$1,839.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.38 / $998.97 / $1,655.69	Professional		$836.38	$998.97	$1,655.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.11 / $1,606.42 / $1,853.11	Facility		$1,176.11	$1,606.42	$1,853.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.44 / $1,606.42 / $2,581.73	Professional		$1,147.44	$1,606.42	$2,581.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.12 / $1,407.12 / $1,613.98	Facility		$1,407.12	$1,407.12	$1,613.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.11 / $1,631.42 / $2,651.60	Professional		$1,194.11	$1,631.42	$2,651.60
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.66 / $1,615.19 / $2,473.44	Professional		$1,201.66	$1,615.19	$2,473.44