Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,862.09	Professional		$1,122.02	$1,348.96	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $8,511.38	Facility		$1,995.26	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,778.28	Professional		$870.96	$1,023.29	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,737.80	Facility		$1,096.48	$1,348.96	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,778.28	Professional		$1,202.26	$1,513.56	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,290.87	Facility		$1,995.26	$1,995.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $5,623.41	Professional		$977.24	$1,778.28	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,089.30	Professional		$954.99	$1,202.26	$2,089.30