Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,452.14 / $10,152.00	Facility		$896.00	$1,452.14	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.57 / $1,198.33 / $1,372.83	Professional		$1,087.57	$1,198.33	$1,372.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.44 / $1,039.02 / $1,716.52	Professional		$857.44	$1,039.02	$1,716.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,178.39 / $1,611.85 / $1,859.38	Facility		$1,178.39	$1,611.85	$1,859.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.32 / $1,611.85 / $2,302.64	Professional		$1,151.32	$1,611.85	$2,302.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.77 / $1,424.29 / $1,424.29	Facility		$1,326.77	$1,424.29	$1,424.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.49 / $1,632.79 / $2,691.09	Professional		$1,255.49	$1,632.79	$2,691.09
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 $1,153.04 / $1,682.97 / $2,597.46	Professional		$1,153.04	$1,682.97	$2,597.46