Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,855.89 / $8,229.00	Facility		$896.00	$1,855.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.46 / $1,724.00 / $1,921.95	Professional		$1,433.46	$1,724.00	$1,921.95
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 $1,148.82 / $1,422.61 / $2,114.34	Professional		$1,148.82	$1,422.61	$2,114.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,537.57 / $2,292.67 / $2,644.76	Facility		$1,537.57	$2,292.67	$2,644.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,600.77 / $2,292.67 / $3,275.24	Professional		$1,600.77	$2,292.67	$3,275.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,697.59 / $2,012.44 / $2,012.44	Facility		$1,697.59	$2,012.44	$2,012.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.68 / $2,065.46 / $2,893.82	Professional		$1,569.68	$2,065.46	$2,893.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,128.91	Professional		$32.34	$32.34	$2,128.91
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 $1,396.67 / $1,995.25 / $3,247.11	Professional		$1,396.67	$1,995.25	$3,247.11