Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,372.54 / $8,229.00	Facility		$896.00	$1,372.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.91 / $1,371.80 / $1,662.24	Professional		$1,262.91	$1,371.80	$1,662.24
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 $887.38 / $1,075.24 / $1,665.67	Professional		$887.38	$1,075.24	$1,665.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,184.13 / $1,656.87 / $1,893.57	Facility		$1,184.13	$1,656.87	$1,893.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,183.48 / $1,656.87 / $2,366.96	Professional		$1,183.48	$1,656.87	$2,366.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,190.94 / $1,495.01 / $2,190.79	Facility		$1,190.94	$1,495.01	$2,190.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.52 / $1,405.95 / $2,476.36	Professional		$1,044.52	$1,405.95	$2,476.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $815.04	Professional		$32.34	$32.34	$815.04
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,785.29 / $8,582.00	Facility		$739.00	$2,785.29	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.72 / $1,262.24 / $2,043.71	Professional		$1,000.72	$1,262.24	$2,043.71