Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,868.79 / $8,229.00	Facility		$896.00	$1,868.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.81 / $1,489.12 / $1,868.79	Professional		$1,285.81	$1,489.12	$1,868.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.90 / $1,437.53 / $2,034.68	Professional		$1,221.90	$1,437.53	$2,034.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,378.34 / $1,989.26 / $2,294.76	Facility		$1,378.34	$1,989.26	$2,294.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,388.93 / $1,989.26 / $2,841.80	Professional		$1,388.93	$1,989.26	$2,841.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.52 / $2,164.39 / $3,229.55	Professional		$1,528.52	$2,164.39	$3,229.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,847.17	Professional		$32.34	$32.34	$1,847.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $16,855.00	Facility		$1,168.00	$6,186.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.00 / $2,139.94 / $3,163.19	Professional		$1,507.00	$2,139.94	$3,163.19