Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,860.57 / $8,229.00	Facility		$896.00	$1,860.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.34 / $1,654.74 / $1,883.76	Professional		$1,226.34	$1,654.74	$1,883.76
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 $992.20 / $1,381.58 / $2,223.86	Professional		$992.20	$1,381.58	$2,223.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,577.40 / $2,283.82 / $2,634.56	Facility		$1,577.40	$2,283.82	$2,634.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,594.60 / $2,283.82 / $3,262.60	Professional		$1,594.60	$2,283.82	$3,262.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.02 / $1,999.50 / $1,999.50	Facility		$1,187.02	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.33 / $1,813.72 / $3,361.87	Professional		$1,074.33	$1,813.72	$3,361.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,120.69	Professional		$32.34	$32.34	$2,120.69
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 $937.75 / $1,907.15 / $3,357.61	Professional		$937.75	$1,907.15	$3,357.61