Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,547.91 / $10,152.00	Facility		$896.00	$1,547.91	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.40 / $1,056.29 / $1,320.74	Professional		$985.40	$1,056.29	$1,320.74
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 $874.39 / $1,059.56 / $1,471.32	Professional		$874.39	$1,059.56	$1,471.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,006.12 / $1,380.95 / $1,593.02	Facility		$1,006.12	$1,380.95	$1,593.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,084.26 / $1,380.95 / $1,972.78	Professional		$1,084.26	$1,380.95	$1,972.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,210.81 / $1,210.81 / $1,210.81	Facility		$1,210.81	$1,210.81	$1,210.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.84 / $1,350.02 / $2,089.23	Professional		$1,012.84	$1,350.02	$2,089.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,085.03	Professional		$32.34	$32.34	$1,085.03
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.22 / $1,358.97 / $2,093.80	Professional		$991.22	$1,358.97	$2,093.80