Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.58 / $1,194.00 / $13,304.00	Facility		$928.58	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.58 / $1,025.16 / $1,096.83	Professional		$928.58	$1,025.16	$1,096.83
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 $916.09 / $1,110.08 / $1,508.65	Professional		$916.09	$1,110.08	$1,508.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.91 / $1,405.36 / $1,621.19	Facility		$1,023.91	$1,405.36	$1,621.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,150.15 / $1,405.36 / $2,258.62	Professional		$1,150.15	$1,405.36	$2,258.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,171.38 / $1,250.82 / $1,250.82	Facility		$1,171.38	$1,250.82	$1,250.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,417.83 / $2,343.00	Professional		$1,117.34	$1,417.83	$2,343.00
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 $937.18 / $1,370.61 / $2,182.27	Professional		$937.18	$1,370.61	$2,182.27