Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,487.37 / $10,152.00	Facility		$860.00	$2,487.37	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,214.46 / $2,487.37 / $2,745.65	Professional		$2,214.46	$2,487.37	$2,745.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,261.00 / $11,262.00	Facility		$2,288.00	$4,261.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,240.00 / $1,844.53	Professional		$1,054.00	$1,240.00	$1,844.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,484.35 / $3,288.10 / $4,192.34	Facility		$2,484.35	$3,288.10	$4,192.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,380.83 / $3,409.88 / $4,871.26	Professional		$2,380.83	$3,409.88	$4,871.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,936.13 / $2,285.00 / $2,998.72	Facility		$1,936.13	$2,285.00	$2,998.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,218.60 / $2,722.06 / $5,517.65	Professional		$2,218.60	$2,722.06	$5,517.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $1,208.26	Professional		$45.00	$45.00	$1,208.26
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,208.44 / $2,775.59 / $4,406.22	Professional		$2,208.44	$2,775.59	$4,406.22