Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,236.46 / $8,229.00	Facility		$896.00	$1,236.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.10 / $1,179.71 / $1,288.68	Professional		$912.10	$1,179.71	$1,288.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $921.23 / $1,104.72	Professional		$783.04	$921.23	$1,104.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,259.22 / $1,752.69 / $2,272.01	Facility		$1,259.22	$1,752.69	$2,272.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,269.08 / $1,752.69 / $2,596.58	Professional		$1,269.08	$1,752.69	$2,596.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.62 / $1,495.62 / $1,495.62	Facility		$1,495.62	$1,495.62	$1,495.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.02 / $1,856.93 / $6,220.84	Professional		$1,048.02	$1,856.93	$6,220.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.00 / $67.59	Professional		$35.10	$45.00	$67.59
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 $828.88 / $1,268.57 / $2,152.19	Professional		$828.88	$1,268.57	$2,152.19