Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,477.49 / $8,229.00	Facility		$896.00	$1,477.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.42 / $1,436.74 / $1,804.22	Professional		$1,163.42	$1,436.74	$1,804.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.74 / $1,373.10 / $1,884.94	Professional		$1,057.74	$1,373.10	$1,884.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,140.68 / $1,559.94 / $1,799.49	Facility		$1,140.68	$1,559.94	$1,799.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,281.38 / $1,571.08 / $2,507.04	Professional		$1,281.38	$1,571.08	$2,507.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,422.22 / $2,050.19 / $2,050.19	Facility		$1,422.22	$2,050.19	$2,050.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.23 / $1,783.80 / $2,761.21	Professional		$1,297.23	$1,783.80	$2,761.21
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,413.01 / $1,859.54 / $2,778.57	Professional		$1,413.01	$1,859.54	$2,778.57