Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,413.95 / $8,229.00	Facility		$896.00	$1,413.95	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.65 / $1,413.95 / $1,712.91	Professional		$1,301.65	$1,413.95	$1,712.91
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 $922.88 / $1,108.81 / $1,795.67	Professional		$922.88	$1,108.81	$1,795.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.20 / $1,707.06 / $1,950.93	Facility		$1,220.20	$1,707.06	$1,950.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $1,707.06 / $2,438.66	Professional		$1,219.33	$1,707.06	$2,438.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.03 / $1,541.24 / $1,728.48	Facility		$1,215.03	$1,541.24	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.25 / $1,462.20 / $2,509.25	Professional		$1,064.25	$1,462.20	$2,509.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $674.08	Professional		$32.34	$32.34	$674.08
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 $1,034.63 / $1,346.86 / $2,190.48	Professional		$1,034.63	$1,346.86	$2,190.48