Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,087.84 / $8,229.00	Facility		$860.00	$1,087.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.46 / $1,028.93 / $1,252.74	Professional		$933.46	$1,028.93	$1,252.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.44 / $1,052.34 / $1,468.30	Professional		$868.44	$1,052.34	$1,468.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.69 / $1,384.53 / $1,597.16	Facility		$1,012.69	$1,384.53	$1,597.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $966.70 / $1,384.53 / $1,977.90	Professional		$966.70	$1,384.53	$1,977.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.80 / $1,223.75 / $1,223.75	Facility		$1,113.80	$1,223.75	$1,223.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.04 / $1,428.38 / $2,276.69	Professional		$1,069.04	$1,428.38	$2,276.69
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 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.07 / $1,466.83 / $2,117.98	Professional		$953.07	$1,466.83	$2,117.98