Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,249.98 / $8,229.00	Facility		$637.00	$1,249.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.43 / $1,249.98 / $1,515.36	Professional		$1,060.43	$1,249.98	$1,515.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.50 / $994.65 / $1,544.64	Professional		$840.50	$994.65	$1,544.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,085.97 / $1,522.84 / $1,740.38	Facility		$1,085.97	$1,522.84	$1,740.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,087.74 / $1,522.84 / $2,175.48	Professional		$1,087.74	$1,522.84	$2,175.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $920.12 / $1,359.30 / $1,728.48	Facility		$920.12	$1,359.30	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.59 / $1,263.46 / $2,028.47	Professional		$960.59	$1,263.46	$2,028.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $693.63	Professional		$32.34	$32.34	$693.63
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 $935.50 / $1,210.86 / $1,969.07	Professional		$935.50	$1,210.86	$1,969.07