Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,451.30 / $8,229.00	Facility		$896.00	$1,451.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.01 / $1,229.91 / $1,451.30	Professional		$1,058.01	$1,229.91	$1,451.30
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 $958.90 / $1,203.77 / $1,667.90	Professional		$958.90	$1,203.77	$1,667.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,142.76 / $1,642.56 / $1,894.81	Facility		$1,142.76	$1,642.56	$1,894.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,289.08 / $1,642.56 / $2,346.52	Professional		$1,289.08	$1,642.56	$2,346.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.06 / $1,437.35 / $1,437.35	Facility		$1,429.06	$1,437.35	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.88 / $1,680.22 / $2,277.80	Professional		$1,200.88	$1,680.22	$2,277.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,525.24	Professional		$32.34	$32.34	$1,525.24
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 $1,135.25 / $1,551.09 / $2,390.54	Professional		$1,135.25	$1,551.09	$2,390.54