Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,195.30 / $8,229.00	Facility		$637.00	$1,195.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.47 / $1,131.59 / $1,232.40	Professional		$1,026.47	$1,131.59	$1,232.40
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 $974.38 / $1,180.73 / $1,620.64	Professional		$974.38	$1,180.73	$1,620.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,112.83 / $1,521.30 / $1,754.92	Facility		$1,112.83	$1,521.30	$1,754.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,062.19 / $1,521.30 / $2,173.28	Professional		$1,062.19	$1,521.30	$2,173.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.19 / $1,345.81 / $1,345.81	Facility		$1,230.19	$1,345.81	$1,345.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.02 / $1,518.90 / $2,427.57	Professional		$1,174.02	$1,518.90	$2,427.57
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 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.91 / $1,572.77 / $2,289.77	Professional		$1,043.91	$1,572.77	$2,289.77