Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,458.98 / $8,229.00	Facility		$860.00	$1,458.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.67 / $1,343.01 / $1,668.41	Professional		$1,156.67	$1,343.01	$1,668.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.23 / $1,323.02 / $1,938.80	Professional		$1,054.23	$1,323.02	$1,938.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,239.16 / $1,791.16 / $2,066.23	Facility		$1,239.16	$1,791.16	$2,066.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,279.40 / $1,750.42 / $2,558.80	Professional		$1,279.40	$1,750.42	$2,558.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.44 / $1,568.44 / $1,642.86	Facility		$1,568.44	$1,568.44	$1,642.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.45 / $1,840.51 / $2,677.66	Professional		$1,352.45	$1,840.51	$2,677.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,663.22	Professional		$32.34	$32.34	$1,663.22
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 $1,227.64 / $1,676.83 / $2,619.96	Professional		$1,227.64	$1,676.83	$2,619.96