Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,663.61 / $8,229.00	Facility		$860.00	$1,663.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.89 / $1,530.73 / $1,663.61	Professional		$1,318.89	$1,530.73	$1,663.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.10 / $1,255.80 / $1,660.00	Professional		$970.10	$1,255.80	$1,660.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,404.59 / $2,027.59 / $2,338.98	Facility		$1,404.59	$2,027.59	$2,338.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,415.69 / $2,027.59 / $2,896.56	Professional		$1,415.69	$2,027.59	$2,896.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,342.79 / $1,795.12 / $1,795.12	Facility		$1,342.79	$1,795.12	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,939.52 / $3,618.13	Professional		$1,342.79	$1,939.52	$3,618.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $670.67 / $902.83 / $1,121.69	Professional		$670.67	$902.83	$1,121.69
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 $982.21 / $1,390.24 / $1,935.52	Professional		$982.21	$1,390.24	$1,935.52