Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,350.48 / $8,229.00	Facility		$896.00	$1,350.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.39 / $1,350.48 / $1,641.10	Professional		$1,240.39	$1,350.48	$1,641.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,261.00 / $11,262.00	Facility		$2,288.00	$4,261.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.30 / $1,092.64 / $1,690.35	Professional		$905.30	$1,092.64	$1,690.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,170.86 / $1,640.73 / $1,875.12	Facility		$1,170.86	$1,640.73	$1,875.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,640.73 / $2,343.90	Professional		$1,171.95	$1,640.73	$2,343.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.11 / $1,467.79 / $1,728.48	Facility		$1,139.11	$1,467.79	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.11 / $1,434.35 / $2,506.98	Professional		$1,062.11	$1,434.35	$2,506.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $843.33	Professional		$32.34	$32.34	$843.33
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 $1,014.40 / $1,339.32 / $2,122.08	Professional		$1,014.40	$1,339.32	$2,122.08