Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,182.48 / $8,229.00	Facility		$860.00	$1,182.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.46 / $1,090.96 / $1,304.46	Professional		$937.46	$1,090.96	$1,304.46
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 $848.66 / $1,072.13 / $1,592.28	Professional		$848.66	$1,072.13	$1,592.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,008.69 / $1,454.85 / $1,678.27	Facility		$1,008.69	$1,454.85	$1,678.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,143.09 / $1,454.85 / $2,078.36	Professional		$1,143.09	$1,454.85	$2,078.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,284.48	Facility		$1,273.55	$1,273.55	$1,284.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.07 / $1,487.28 / $2,183.33	Professional		$1,096.07	$1,487.28	$2,183.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,350.93	Professional		$32.34	$32.34	$1,350.93
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 $1,018.18 / $1,489.85 / $2,117.48	Professional		$1,018.18	$1,489.85	$2,117.48