Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,759.12 / $8,229.00	Facility		$896.00	$1,759.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.62 / $1,594.68 / $1,848.54	Professional		$1,394.62	$1,594.68	$1,848.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $12,157.00	Facility		$2,320.00	$4,334.00	$12,157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.00 / $1,584.35 / $2,384.10	Professional		$1,309.00	$1,584.35	$2,384.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,465.45 / $2,075.28 / $2,393.98	Facility		$1,465.45	$2,075.28	$2,393.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,630.57 / $2,075.28 / $2,964.68	Professional		$1,630.57	$2,075.28	$2,964.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.24 / $1,877.47 / $1,877.47	Facility		$1,570.24	$1,877.47	$1,877.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.56 / $2,195.42 / $3,256.80	Professional		$1,564.56	$2,195.42	$3,256.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,927.04	Professional		$32.34	$32.34	$1,927.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $5,592.00 / $10,966.00	Facility		$1,150.00	$5,592.00	$10,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.54 / $2,122.89 / $3,340.77	Professional		$1,528.54	$2,122.89	$3,340.77