Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,889.86 / $8,229.00	Facility		$896.00	$1,889.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.90 / $1,463.60 / $1,889.86	Professional		$1,217.90	$1,463.60	$1,889.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.38 / $1,445.07 / $2,085.98	Professional		$1,158.38	$1,445.07	$2,085.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,357.21 / $1,953.07 / $2,253.00	Facility		$1,357.21	$1,953.07	$2,253.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,395.05 / $1,953.07 / $2,790.10	Professional		$1,395.05	$1,953.07	$2,790.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $1,710.90 / $1,860.91	Facility		$1,710.90	$1,710.90	$1,860.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.03 / $2,044.80 / $3,065.78	Professional		$1,440.03	$2,044.80	$3,065.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,813.57	Professional		$32.34	$32.34	$1,813.57
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 $1,331.54 / $1,875.33 / $2,888.80	Professional		$1,331.54	$1,875.33	$2,888.80