Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,130.02 / $8,229.00	Facility		$787.00	$1,130.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.66 / $1,102.51 / $1,363.88	Professional		$992.66	$1,102.51	$1,363.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.52 / $1,021.27 / $1,521.26	Professional		$840.52	$1,021.27	$1,521.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.83 / $1,438.21 / $1,659.08	Facility		$1,047.83	$1,438.21	$1,659.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.29 / $1,438.21 / $2,054.58	Professional		$1,027.29	$1,438.21	$2,054.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,259.90 / $1,259.90 / $1,259.90	Facility		$1,259.90	$1,259.90	$1,259.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.92 / $1,354.54 / $2,063.76	Professional		$1,049.92	$1,354.54	$2,063.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,130.02	Professional		$32.34	$32.34	$1,130.02
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.76 / $1,289.81 / $2,234.60	Professional		$991.76	$1,289.81	$2,234.60