Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,232.09 / $8,229.00	Facility		$896.00	$1,232.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.60 / $1,167.61 / $1,441.27	Professional		$1,067.60	$1,167.61	$1,441.27
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 $843.38 / $1,015.54 / $1,568.81	Professional		$843.38	$1,015.54	$1,568.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.24 / $1,437.83 / $1,643.23	Facility		$1,023.24	$1,437.83	$1,643.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.02 / $1,437.83 / $2,054.04	Professional		$1,027.02	$1,437.83	$2,054.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.39 / $1,353.39 / $1,401.73	Professional		$1,353.39	$1,353.39	$1,401.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $741.13	Professional		$32.34	$32.34	$741.13
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 $970.51 / $1,208.83 / $2,031.06	Professional		$970.51	$1,208.83	$2,031.06