Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,399.84 / $8,229.00	Facility		$860.00	$1,399.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.78 / $1,270.81 / $1,518.98	Professional		$1,109.78	$1,270.81	$1,518.98
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 $1,080.28 / $1,272.20 / $1,808.03	Professional		$1,080.28	$1,272.20	$1,808.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.20 / $1,697.68 / $1,958.41	Facility		$1,202.20	$1,697.68	$1,958.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.63 / $1,697.68 / $2,425.26	Professional		$1,212.63	$1,697.68	$2,425.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $1,490.92 / $1,490.92	Facility		$1,325.54	$1,490.92	$1,490.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.19 / $1,796.82 / $2,619.04	Professional		$1,241.19	$1,796.82	$2,619.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,576.42	Professional		$32.34	$32.34	$1,576.42
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 $1,228.25 / $1,673.26 / $2,699.30	Professional		$1,228.25	$1,673.26	$2,699.30