Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,319.39 / $8,229.00	Facility		$787.00	$1,319.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.30 / $1,192.16 / $1,416.99	Professional		$1,151.30	$1,192.16	$1,416.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.85 / $1,117.07 / $1,585.85	Professional		$921.85	$1,117.07	$1,585.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,107.02 / $1,506.19 / $1,737.49	Facility		$1,107.02	$1,506.19	$1,737.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.89 / $1,506.19 / $2,151.69	Professional		$1,179.89	$1,506.19	$2,151.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.93 / $1,321.30 / $1,321.30	Facility		$1,110.93	$1,321.30	$1,321.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.67 / $1,481.39 / $2,230.59	Professional		$1,101.67	$1,481.39	$2,230.59
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 $391.00 / $1,335.00 / $3,394.00	Facility		$391.00	$1,335.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.07 / $1,414.61 / $2,261.12	Professional		$943.07	$1,414.61	$2,261.12