Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.41 / $1,337.65 / $13,304.00	Facility		$976.41	$1,337.65	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.80 / $1,072.98 / $1,302.51	Professional		$973.80	$1,072.98	$1,302.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $15,330.00	Facility		$3,565.00	$6,410.00	$15,330.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.85 / $989.83 / $1,582.86	Professional		$816.85	$989.83	$1,582.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,053.05 / $1,445.36 / $1,667.33	Facility		$1,053.05	$1,445.36	$1,667.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,130.49 / $1,445.36 / $2,064.80	Professional		$1,130.49	$1,445.36	$2,064.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.16 / $1,276.39 / $1,276.39	Facility		$1,222.16	$1,276.39	$1,276.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.76 / $1,529.32 / $2,433.50	Professional		$1,126.76	$1,529.32	$2,433.50
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.15 / $1,615.26 / $2,200.42	Professional		$1,042.15	$1,615.26	$2,200.42