Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,430.56 / $8,229.00	Facility		$896.00	$1,430.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.39 / $1,353.23 / $1,666.14	Professional		$1,242.39	$1,353.23	$1,666.14
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 $976.79 / $1,176.71 / $1,761.32	Professional		$976.79	$1,176.71	$1,761.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,185.03 / $1,665.75 / $1,903.71	Facility		$1,185.03	$1,665.75	$1,903.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.82 / $1,665.75 / $2,379.64	Professional		$1,189.82	$1,665.75	$2,379.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.96 / $1,571.96 / $1,628.10	Professional		$1,571.96	$1,571.96	$1,628.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $860.34	Professional		$32.34	$32.34	$860.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $3,811.00 / $10,113.00	Facility		$842.00	$3,811.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.53 / $1,400.29 / $2,354.38	Professional		$1,103.53	$1,400.29	$2,354.38