Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,028.06 / $8,229.00	Facility		$896.00	$2,028.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.02 / $1,625.13 / $2,028.06	Professional		$1,398.02	$1,625.13	$2,028.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,990.10 / $30,856.09	Facility		$6,153.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.23 / $1,364.30 / $1,780.33	Professional		$1,149.23	$1,364.30	$1,780.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,474.79 / $2,151.07 / $2,481.42	Facility		$1,474.79	$2,151.07	$2,481.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,692.00 / $2,091.59 / $3,072.96	Professional		$1,692.00	$2,091.59	$3,072.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.87 / $2,447.31 / $3,610.54	Professional		$1,752.87	$2,447.31	$3,610.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,997.42	Professional		$32.34	$32.34	$1,997.42
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,720.57 / $2,389.11 / $3,447.97	Professional		$1,720.57	$2,389.11	$3,447.97