Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,406.46 / $8,229.00	Facility		$896.00	$1,406.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.03 / $1,275.98 / $1,522.94	Professional		$1,115.03	$1,275.98	$1,522.94
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 $1,072.96 / $1,291.09 / $1,772.84	Professional		$1,072.96	$1,291.09	$1,772.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,206.07 / $1,704.88 / $1,966.69	Facility		$1,206.07	$1,704.88	$1,966.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,217.77 / $1,704.88 / $2,435.54	Professional		$1,217.77	$1,704.88	$2,435.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.67 / $1,496.15 / $1,496.15	Facility		$1,319.67	$1,496.15	$1,496.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.73 / $1,796.60 / $2,527.39	Professional		$1,288.73	$1,796.60	$2,527.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,583.10	Professional		$32.34	$32.34	$1,583.10
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 $1,213.41 / $1,662.37 / $2,596.94	Professional		$1,213.41	$1,662.37	$2,596.94