Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,351.36 / $8,229.00	Facility		$787.00	$1,351.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.31 / $1,084.79 / $1,351.36	Professional		$982.31	$1,084.79	$1,351.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.62 / $901.40 / $1,467.70	Professional		$748.62	$901.40	$1,467.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,035.41 / $1,421.14 / $1,639.40	Facility		$1,035.41	$1,421.14	$1,639.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.71 / $1,421.14 / $2,030.20	Professional		$1,111.71	$1,421.14	$2,030.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.93 / $1,246.93 / $1,246.93	Facility		$1,246.93	$1,246.93	$1,246.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.51 / $1,301.95 / $2,116.77	Professional		$941.51	$1,301.95	$2,116.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,116.60	Professional		$32.34	$32.34	$1,116.60
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.42 / $1,288.69 / $2,110.85	Professional		$956.42	$1,288.69	$2,110.85