Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,250.13 / $8,229.00	Facility		$637.00	$1,250.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.17 / $1,222.86 / $1,467.39	Professional		$1,032.17	$1,222.86	$1,467.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.33 / $1,036.86 / $1,459.04	Professional		$881.33	$1,036.86	$1,459.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.75 / $1,233.17 / $1,439.69	Facility		$1,012.75	$1,233.17	$1,439.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.82 / $1,390.05 / $1,985.78	Professional		$1,090.82	$1,390.05	$1,985.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.91 / $1,214.91 / $1,829.00	Facility		$1,214.91	$1,214.91	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.43 / $1,247.13 / $2,010.73	Professional		$1,070.43	$1,247.13	$2,010.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,290.76	Professional		$32.34	$32.34	$1,290.76
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $2,444.00 / $10,069.00	Facility		$842.00	$2,444.00	$10,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.06 / $1,288.71 / $1,915.36	Professional		$952.06	$1,288.71	$1,915.36