Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,301.30 / $8,229.00	Facility		$860.00	$1,301.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.66 / $1,194.90 / $1,399.95	Professional		$1,031.66	$1,194.90	$1,399.95
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 $905.45 / $1,136.32 / $1,696.50	Professional		$905.45	$1,136.32	$1,696.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,112.08 / $1,596.52 / $1,841.69	Facility		$1,112.08	$1,596.52	$1,841.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,114.71 / $1,596.52 / $2,280.73	Professional		$1,114.71	$1,596.52	$2,280.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.55 / $1,398.29 / $1,398.29	Facility		$1,326.55	$1,398.29	$1,398.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.27 / $1,627.35 / $2,288.87	Professional		$1,170.27	$1,627.35	$2,288.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,482.48	Professional		$32.34	$32.34	$1,482.48
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 $1,081.28 / $1,482.38 / $2,345.19	Professional		$1,081.28	$1,482.38	$2,345.19