Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.90 / $1,106.84 / $1,416.69	Facility		$696.90	$1,106.84	$1,416.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.84 / $1,258.76 / $2,075.33	Professional		$1,106.84	$1,258.76	$2,075.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.96 / $1,077.28 / $1,795.19	Professional		$768.96	$1,077.28	$1,795.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,334.67 / $1,803.06 / $2,079.96	Facility		$1,334.67	$1,803.06	$2,079.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,428.10 / $1,803.06 / $2,575.80	Professional		$1,428.10	$1,803.06	$2,575.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.95 / $1,583.95 / $1,583.95	Facility		$1,583.95	$1,583.95	$1,583.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $156.96 / $156.96 / $156.96	Facility	AS	$156.96	$156.96	$156.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.32 / $1,522.32 / $2,646.58	Professional		$892.32	$1,522.32	$2,646.58
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 $909.28 / $1,616.88 / $2,378.62	Professional		$909.28	$1,616.88	$2,378.62