Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,181.90 / $5,320.00	Facility		$787.00	$1,181.90	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.01 / $1,024.22 / $1,666.68	Professional		$895.01	$1,024.22	$1,666.68
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 $853.56 / $1,053.70 / $1,470.10	Professional		$853.56	$1,053.70	$1,470.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $964.96 / $1,394.93 / $1,609.15	Facility		$964.96	$1,394.93	$1,609.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,095.35 / $1,394.93 / $1,992.76	Professional		$1,095.35	$1,394.93	$1,992.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,460.70	Facility		$1,222.09	$1,222.09	$1,460.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.42 / $1,482.96 / $2,083.73	Professional		$1,018.42	$1,482.96	$2,083.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,295.29	Professional		$32.34	$32.34	$1,295.29
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 $980.87 / $1,374.39 / $1,890.72	Professional		$980.87	$1,374.39	$1,890.72