Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,240.00 / $5,320.00	Facility		$787.00	$1,240.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.42 / $996.93 / $1,213.08	Professional		$837.42	$996.93	$1,213.08
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 $817.26 / $1,021.98 / $1,390.80	Professional		$817.26	$1,021.98	$1,390.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $939.03 / $1,357.02 / $1,565.43	Facility		$939.03	$1,357.02	$1,565.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.60 / $1,327.00 / $1,938.60	Professional		$1,065.60	$1,327.00	$1,938.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.38 / $1,189.38 / $1,361.92	Facility		$1,189.38	$1,189.38	$1,361.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.00 / $1,428.74 / $2,023.37	Professional		$1,003.00	$1,428.74	$2,023.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,260.08	Professional		$32.34	$32.34	$1,260.08
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 $974.28 / $1,336.55 / $2,148.98	Professional		$974.28	$1,336.55	$2,148.98