Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,570.40	Professional		$933.25	$1,096.48	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,511.38	Facility		$2,344.23	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,445.44	Professional		$851.14	$1,047.13	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,737.80	Facility		$954.99	$1,348.96	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,659.59	Professional		$1,096.48	$1,348.96	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Facility		$1,819.70	$1,819.70	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $5,888.44	Professional		$1,096.48	$1,778.28	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,089.30	Professional		$933.25	$1,318.26	$2,089.30