Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.44 / $1,194.00 / $13,304.00	Facility		$908.44	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.44 / $1,003.30 / $1,074.28	Professional		$908.44	$1,003.30	$1,074.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.74 / $1,083.01 / $1,477.50	Professional		$893.74	$1,083.01	$1,477.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.78 / $1,374.18 / $1,585.23	Facility		$1,007.78	$1,374.18	$1,585.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $959.47 / $1,374.18 / $2,208.51	Professional		$959.47	$1,374.18	$2,208.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.77 / $1,224.71 / $1,224.71	Facility		$1,140.77	$1,224.71	$1,224.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,380.38 / $2,286.30	Professional		$1,092.83	$1,380.38	$2,286.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.32 / $1,371.66 / $2,134.03	Professional		$914.32	$1,371.66	$2,134.03