Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,317.37 / $5,320.00	Facility		$787.00	$1,317.37	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.60 / $1,084.74 / $1,318.85	Professional		$936.60	$1,084.74	$1,318.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.55 / $1,174.46 / $1,584.90	Professional		$960.55	$1,174.46	$1,584.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.16 / $1,519.07 / $1,752.35	Facility		$1,050.16	$1,519.07	$1,752.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.05 / $1,519.07 / $2,170.10	Professional		$1,085.05	$1,519.07	$2,170.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,628.13	Facility		$1,330.88	$1,330.88	$1,628.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.07 / $1,618.09 / $2,228.89	Professional		$1,109.07	$1,618.09	$2,228.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,410.57	Professional		$32.34	$32.34	$1,410.57
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.75 / $1,547.53 / $2,059.62	Professional		$1,141.75	$1,547.53	$2,059.62