Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,158.71 / $8,229.00	Facility		$637.00	$1,158.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.06 / $1,028.15 / $1,167.00	Professional		$904.06	$1,028.15	$1,167.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.74 / $1,055.13 / $1,518.08	Professional		$870.74	$1,055.13	$1,518.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.28 / $1,474.72 / $1,701.18	Facility		$1,092.28	$1,474.72	$1,701.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,029.67 / $1,474.72 / $2,370.08	Professional		$1,029.67	$1,474.72	$2,370.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.16 / $1,293.16 / $1,451.72	Facility		$1,293.16	$1,293.16	$1,451.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.30 / $1,467.54 / $2,186.36	Professional		$1,101.30	$1,467.54	$2,186.36
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 $599.00 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.94 / $1,381.89 / $2,273.64	Professional		$1,068.94	$1,381.89	$2,273.64