Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,421.36 / $8,229.00	Facility		$896.00	$1,421.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $1,421.36 / $1,721.74	Professional		$1,308.34	$1,421.36	$1,721.74
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 $919.87 / $1,112.18 / $1,819.25	Professional		$919.87	$1,112.18	$1,819.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,226.92 / $1,716.92 / $1,962.19	Facility		$1,226.92	$1,716.92	$1,962.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.78 / $1,716.92 / $2,452.73	Professional		$1,198.78	$1,716.92	$2,452.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.33 / $1,548.69 / $1,728.48	Facility		$1,174.33	$1,548.69	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.57 / $1,457.43 / $2,573.69	Professional		$1,085.57	$1,457.43	$2,573.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $806.84	Professional		$32.34	$32.34	$806.84
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 $1,030.54 / $1,353.95 / $2,202.50	Professional		$1,030.54	$1,353.95	$2,202.50