Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,584.68 / $8,229.00	Facility		$896.00	$1,584.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.94 / $1,408.79 / $1,584.68	Professional		$1,198.94	$1,408.79	$1,584.68
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 $899.27 / $1,199.03 / $1,908.61	Professional		$899.27	$1,199.03	$1,908.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,346.15 / $1,946.24 / $2,245.12	Facility		$1,346.15	$1,946.24	$2,245.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,528.24 / $1,946.24 / $2,780.34	Professional		$1,528.24	$1,946.24	$2,780.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,180.57 / $1,703.48 / $1,703.48	Facility		$1,180.57	$1,703.48	$1,703.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.64 / $1,593.97 / $2,869.37	Professional		$1,027.64	$1,593.97	$2,869.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,807.22	Professional		$32.34	$32.34	$1,807.22
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 $883.45 / $1,722.02 / $2,879.81	Professional		$883.45	$1,722.02	$2,879.81