Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,130.72 / $2,747.00	Facility		$787.00	$1,130.72	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.97 / $1,011.87 / $1,527.25	Professional		$849.97	$1,011.87	$1,527.25
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 $815.01 / $1,009.68 / $1,513.42	Professional		$815.01	$1,009.68	$1,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.50 / $1,395.90 / $1,610.27	Facility		$957.50	$1,395.90	$1,610.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.78 / $1,395.90 / $1,994.14	Professional		$1,096.78	$1,395.90	$1,994.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $1,223.35 / $1,397.44	Facility		$1,223.35	$1,223.35	$1,397.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.47 / $1,491.94 / $2,172.73	Professional		$1,019.47	$1,491.94	$2,172.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,296.19	Professional		$32.34	$32.34	$1,296.19
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.29 / $1,320.90 / $1,874.69	Professional		$992.29	$1,320.90	$1,874.69