Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,183.42 / $8,229.00	Facility		$860.00	$1,183.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.60 / $1,120.65 / $1,330.92	Professional		$1,016.60	$1,120.65	$1,330.92
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 $980.57 / $1,188.23 / $1,644.16	Professional		$980.57	$1,188.23	$1,644.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,101.70 / $1,506.18 / $1,737.47	Facility		$1,101.70	$1,506.18	$1,737.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,237.22 / $1,506.18 / $2,151.67	Professional		$1,237.22	$1,506.18	$2,151.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.15 / $1,332.49 / $1,332.49	Facility		$1,236.15	$1,332.49	$1,332.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.82 / $1,537.86 / $2,474.05	Professional		$1,162.82	$1,537.86	$2,474.05
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 $1,053.31 / $1,557.80 / $2,267.96	Professional		$1,053.31	$1,557.80	$2,267.96