Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,436.47 / $8,229.00	Facility		$637.00	$1,436.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.63 / $1,401.33 / $1,734.38	Professional		$1,341.63	$1,401.33	$1,734.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.49 / $1,558.92 / $2,192.06	Professional		$1,286.49	$1,558.92	$2,192.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,332.33 / $1,828.23 / $2,109.00	Facility		$1,332.33	$1,828.23	$2,109.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,473.47 / $1,828.23 / $2,611.76	Professional		$1,473.47	$1,828.23	$2,611.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,574.40 / $1,604.65 / $1,604.65	Facility		$1,574.40	$1,604.65	$1,604.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.31 / $2,005.89 / $3,070.92	Professional		$1,373.31	$2,005.89	$3,070.92
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.08 / $2,000.26 / $2,946.35	Professional		$1,373.08	$2,000.26	$2,946.35