Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,295.27 / $8,229.00	Facility		$896.00	$1,295.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.03 / $1,061.20 / $1,295.27	Professional		$920.03	$1,061.20	$1,295.27
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 $867.41 / $1,122.85 / $1,547.63	Professional		$867.41	$1,122.85	$1,547.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.20 / $1,411.48 / $1,628.24	Facility		$986.20	$1,411.48	$1,628.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,109.02 / $1,411.48 / $2,016.40	Professional		$1,109.02	$1,411.48	$2,016.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.70 / $1,243.70 / $1,275.43	Facility		$1,243.70	$1,243.70	$1,275.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.34 / $1,503.89 / $2,234.80	Professional		$1,087.34	$1,503.89	$2,234.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,310.66	Professional		$32.34	$32.34	$1,310.66
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 $1,055.31 / $1,424.67 / $2,182.07	Professional		$1,055.31	$1,424.67	$2,182.07