Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,219.36 / $10,152.00	Facility		$896.00	$1,219.36	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.06 / $1,072.64 / $1,145.16	Professional		$972.06	$1,072.64	$1,145.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.31 / $1,169.74 / $1,575.15	Professional		$965.31	$1,169.74	$1,575.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.96 / $1,475.73 / $1,702.36	Facility		$1,080.96	$1,475.73	$1,702.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.20 / $1,475.73 / $2,108.17	Professional		$1,212.20	$1,475.73	$2,108.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.68 / $1,307.33 / $1,307.33	Facility		$1,231.68	$1,307.33	$1,307.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.35 / $1,458.75 / $2,464.34	Professional		$1,176.35	$1,458.75	$2,464.34
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 $991.19 / $1,481.31 / $2,337.55	Professional		$991.19	$1,481.31	$2,337.55