Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,324.76 / $10,152.00	Facility		$896.00	$1,324.76	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.29 / $1,142.16 / $1,220.70	Professional		$1,035.29	$1,142.16	$1,220.70
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 $983.90 / $1,192.26 / $1,772.01	Professional		$983.90	$1,192.26	$1,772.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.40 / $1,570.23 / $1,811.37	Facility		$1,150.40	$1,570.23	$1,811.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,289.83 / $1,570.23 / $2,523.58	Professional		$1,289.83	$1,570.23	$2,523.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,338.13 / $1,391.76 / $1,391.76	Facility		$1,338.13	$1,391.76	$1,391.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.44 / $1,608.78 / $2,513.07	Professional		$1,252.44	$1,608.78	$2,513.07
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 $1,027.74 / $1,558.66 / $2,447.58	Professional		$1,027.74	$1,558.66	$2,447.58