Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,416.45 / $10,152.00	Facility		$896.00	$1,416.45	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.41 / $1,172.77 / $1,281.58	Professional		$1,064.41	$1,172.77	$1,281.58
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 $838.48 / $1,016.04 / $1,679.03	Professional		$838.48	$1,016.04	$1,679.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $1,577.51 / $1,819.76	Facility		$1,153.33	$1,577.51	$1,819.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.40 / $1,577.51 / $2,253.58	Professional		$1,257.40	$1,577.51	$2,253.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.16 / $1,393.63 / $1,393.63	Facility		$1,294.16	$1,393.63	$1,393.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.74 / $1,593.02 / $2,632.14	Professional		$1,227.74	$1,593.02	$2,632.14
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 $1,120.15 / $1,695.91 / $2,480.54	Professional		$1,120.15	$1,695.91	$2,480.54