Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,283.08 / $8,229.00	Facility		$787.00	$1,283.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.22 / $1,174.11 / $1,399.66	Professional		$1,137.22	$1,174.11	$1,399.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.45 / $1,228.07 / $1,646.78	Professional		$1,013.45	$1,228.07	$1,646.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.42 / $1,491.92 / $1,721.04	Facility		$1,087.42	$1,491.92	$1,721.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,041.68 / $1,491.92 / $2,131.32	Professional		$1,041.68	$1,491.92	$2,131.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,080.36 / $1,308.67 / $1,308.67	Facility		$1,080.36	$1,308.67	$1,308.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.11 / $1,532.49 / $2,489.91	Professional		$1,118.11	$1,532.49	$2,489.91
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 $739.00 / $3,853.00 / $8,979.00	Facility		$739.00	$3,853.00	$8,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.59 / $1,574.66 / $2,262.84	Professional		$1,056.59	$1,574.66	$2,262.84