Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,445.59 / $8,229.00	Facility		$896.00	$1,445.59	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.45 / $1,266.95 / $1,481.63	Professional		$1,095.45	$1,266.95	$1,481.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.57 / $1,235.41 / $1,779.60	Professional		$1,016.57	$1,235.41	$1,779.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,177.58 / $1,692.40 / $1,952.31	Facility		$1,177.58	$1,692.40	$1,952.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,208.85 / $1,664.03 / $2,417.71	Professional		$1,208.85	$1,664.03	$2,417.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.44 / $1,480.64 / $1,480.64	Facility		$1,423.44	$1,480.64	$1,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.09 / $1,714.81 / $2,443.34	Professional		$1,238.09	$1,714.81	$2,443.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,571.52	Professional		$32.34	$32.34	$1,571.52
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 $1,127.98 / $1,486.67 / $2,352.21	Professional		$1,127.98	$1,486.67	$2,352.21