Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,924.00 / $8,229.00	Facility		$860.00	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.31 / $1,305.52 / $1,743.30	Professional		$1,139.31	$1,305.52	$1,743.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,114.00 / $11,253.00 / $26,308.00	Facility		$8,114.00	$11,253.00	$26,308.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.42 / $1,317.94 / $1,894.65	Professional		$1,061.42	$1,317.94	$1,894.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.11 / $1,749.02 / $2,017.63	Facility		$1,236.11	$1,749.02	$2,017.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,221.19 / $1,749.02 / $2,498.60	Professional		$1,221.19	$1,749.02	$2,498.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,446.39 / $1,531.60 / $1,531.60	Facility		$1,446.39	$1,531.60	$1,531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.28 / $1,805.16 / $2,732.72	Professional		$1,340.28	$1,805.16	$2,732.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,624.09	Professional		$32.34	$32.34	$1,624.09
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 $1,232.90 / $1,737.65 / $2,642.21	Professional		$1,232.90	$1,737.65	$2,642.21