Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,272.22 / $9,311.00	Facility		$860.00	$1,272.22	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.68 / $1,049.48 / $1,272.22	Professional		$1,004.68	$1,049.48	$1,272.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.87 / $1,146.17 / $1,610.80	Professional		$945.87	$1,146.17	$1,610.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,370.71 / $1,370.71 / $1,465.91	Facility		$1,370.71	$1,370.71	$1,465.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $940.48 / $1,354.47 / $2,202.92	Professional		$940.48	$1,354.47	$2,202.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.22 / $1,201.73 / $1,201.73	Facility		$1,071.22	$1,201.73	$1,201.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.09 / $1,504.91 / $2,251.32	Professional		$1,024.09	$1,504.91	$2,251.32
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 $995.45 / $1,471.76 / $2,000.77	Professional		$995.45	$1,471.76	$2,000.77