Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,481.15 / $8,229.00	Facility		$860.00	$1,481.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.24 / $1,350.18 / $2,332.81	Professional		$1,174.24	$1,350.18	$2,332.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.36 / $1,368.58 / $2,099.71	Professional		$1,081.36	$1,368.58	$2,099.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,274.43 / $1,803.47 / $2,080.42	Facility		$1,274.43	$1,803.47	$2,080.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,409.82 / $1,803.47 / $2,576.38	Professional		$1,409.82	$1,803.47	$2,576.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.50 / $1,579.28 / $1,579.28	Facility		$1,366.50	$1,579.28	$1,579.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.07 / $1,859.19 / $2,783.97	Professional		$1,316.07	$1,859.19	$2,783.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,674.65	Professional		$32.34	$32.34	$1,674.65
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 $1,289.20 / $1,721.59 / $2,718.90	Professional		$1,289.20	$1,721.59	$2,718.90