Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,534.36 / $8,229.00	Facility		$896.00	$1,534.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.66 / $1,345.49 / $1,576.20	Professional		$1,170.66	$1,345.49	$1,576.20
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 $1,182.43 / $1,391.10 / $1,881.15	Professional		$1,182.43	$1,391.10	$1,881.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.39 / $1,790.47 / $2,065.42	Facility		$1,252.39	$1,790.47	$2,065.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,278.91 / $1,790.47 / $2,557.82	Professional		$1,278.91	$1,790.47	$2,557.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,510.85 / $1,576.24 / $1,576.24	Facility		$1,510.85	$1,576.24	$1,576.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.29 / $1,954.34 / $2,857.86	Professional		$1,427.29	$1,954.34	$2,857.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,662.58	Professional		$32.34	$32.34	$1,662.58
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 $1,330.50 / $1,824.50 / $2,820.93	Professional		$1,330.50	$1,824.50	$2,820.93