Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,221.09 / $8,229.00	Facility		$860.00	$1,221.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.86 / $1,121.17 / $1,223.28	Professional		$1,017.86	$1,121.17	$1,223.28
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 $951.60 / $1,153.13 / $1,625.10	Professional		$951.60	$1,153.13	$1,625.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,554.13 / $1,792.80	Facility		$1,137.59	$1,554.13	$1,792.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,554.13 / $2,220.17	Professional		$1,085.10	$1,554.13	$2,220.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,228.16 / $1,369.87 / $1,369.87	Facility		$1,228.16	$1,369.87	$1,369.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.31 / $1,534.36 / $2,405.21	Professional		$1,163.31	$1,534.36	$2,405.21
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 $1,022.19 / $1,560.30 / $2,303.40	Professional		$1,022.19	$1,560.30	$2,303.40