Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,769.38 / $8,229.00	Facility		$787.00	$1,769.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,480.91 / $1,682.85 / $1,781.73	Professional		$1,480.91	$1,682.85	$1,781.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,610.62 / $2,219.69	Professional		$1,350.82	$1,610.62	$2,219.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,666.67 / $2,029.42 / $2,369.29	Facility		$1,666.67	$2,029.42	$2,369.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,597.23 / $2,287.59 / $3,267.98	Professional		$1,597.23	$2,287.59	$3,267.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.26 / $2,001.44 / $2,109.00	Facility		$1,377.26	$2,001.44	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.92 / $1,845.52 / $3,067.11	Professional		$1,497.92	$1,845.52	$3,067.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,124.19	Professional		$32.34	$32.34	$2,124.19
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 $1,446.44 / $1,820.70 / $2,899.84	Professional		$1,446.44	$1,820.70	$2,899.84