Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,534.44 / $8,229.00	Facility		$896.00	$1,534.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.55 / $1,426.85 / $1,755.92	Professional		$1,306.55	$1,426.85	$1,755.92
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 $956.25 / $1,125.00 / $1,822.37	Professional		$956.25	$1,125.00	$1,822.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,240.81 / $1,747.07 / $1,996.66	Facility		$1,240.81	$1,747.07	$1,996.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,247.91 / $1,747.07 / $2,495.82	Professional		$1,247.91	$1,747.07	$2,495.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,331.42 / $1,543.54 / $1,728.48	Facility		$1,331.42	$1,543.54	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.89 / $1,575.89 / $2,809.42	Professional		$1,150.89	$1,575.89	$2,809.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $747.55	Professional		$32.34	$32.34	$747.55
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 $1,137.83 / $1,464.96 / $2,345.90	Professional		$1,137.83	$1,464.96	$2,345.90