Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,863.54 / $8,229.00	Facility		$860.00	$1,863.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.40 / $1,715.86 / $3,168.23	Professional		$1,477.40	$1,715.86	$3,168.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,579.12 / $1,913.52 / $2,894.42	Professional		$1,579.12	$1,913.52	$2,894.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,581.90 / $2,286.87 / $2,638.07	Facility		$1,581.90	$2,286.87	$2,638.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,795.71 / $2,286.87 / $3,266.96	Professional		$1,795.71	$2,286.87	$3,266.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $3,119.70	Facility		$2,004.00	$2,004.00	$3,119.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.55 / $2,708.71 / $3,915.00	Professional		$1,784.55	$2,708.71	$3,915.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,123.52	Professional		$32.34	$32.34	$2,123.52
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,727.72 / $2,472.13 / $3,616.48	Professional		$1,727.72	$2,472.13	$3,616.48