Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,261.33 / $8,229.00	Facility		$787.00	$1,261.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.93 / $1,033.99 / $1,261.33	Professional		$1,000.93	$1,033.99	$1,261.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.89 / $1,070.07 / $1,437.30	Professional		$865.89	$1,070.07	$1,437.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.49 / $1,314.36 / $1,516.22	Facility		$958.49	$1,314.36	$1,516.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,025.58 / $1,314.36 / $1,877.66	Professional		$1,025.58	$1,314.36	$1,877.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.06 / $1,153.11 / $1,153.11	Facility		$1,062.06	$1,153.11	$1,153.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.44 / $1,341.89 / $2,240.92	Professional		$979.44	$1,341.89	$2,240.92
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.70 / $1,355.09 / $2,031.05	Professional		$948.70	$1,355.09	$2,031.05