Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,538.55 / $10,152.00	Facility		$896.00	$1,538.55	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.68 / $1,263.32 / $1,381.53	Professional		$1,146.68	$1,263.32	$1,381.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.19 / $1,095.67 / $1,809.93	Professional		$904.19	$1,095.67	$1,809.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.54 / $1,698.40 / $1,959.22	Facility		$1,241.54	$1,698.40	$1,959.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,334.45 / $1,698.40 / $2,426.28	Professional		$1,334.45	$1,698.40	$2,426.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,405.72 / $1,501.36 / $1,501.36	Facility		$1,405.72	$1,501.36	$1,501.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.17 / $1,728.71 / $2,840.74	Professional		$1,324.17	$1,728.71	$2,840.74
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 $1,197.83 / $1,832.02 / $2,623.63	Professional		$1,197.83	$1,832.02	$2,623.63