Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.86 / $1,194.00 / $13,304.00	Facility		$829.86	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.86 / $916.47 / $984.64	Professional		$829.86	$916.47	$984.64
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 $846.43 / $1,025.67 / $1,420.90	Professional		$846.43	$1,025.67	$1,420.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $918.20 / $1,260.28 / $1,453.82	Facility		$918.20	$1,260.28	$1,453.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.47 / $1,260.28 / $2,025.45	Professional		$1,026.47	$1,260.28	$2,025.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.96 / $1,116.96 / $1,137.74	Facility		$1,116.96	$1,116.96	$1,137.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.83 / $1,377.85 / $2,162.52	Professional		$1,011.83	$1,377.85	$2,162.52
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 $865.91 / $1,269.48 / $1,977.80	Professional		$865.91	$1,269.48	$1,977.80