Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,721.37 / $8,229.00	Facility		$860.00	$1,721.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.84 / $1,132.82 / $1,721.37	Professional		$973.84	$1,132.82	$1,721.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $10,301.00	Facility		$2,088.00	$3,967.00	$10,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.86 / $1,232.20 / $1,734.01	Professional		$1,016.86	$1,232.20	$1,734.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,046.29 / $1,510.07 / $1,741.98	Facility		$1,046.29	$1,510.07	$1,741.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,186.48 / $1,510.07 / $2,157.23	Professional		$1,186.48	$1,510.07	$2,157.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,695.00	Facility		$1,322.60	$1,322.60	$1,695.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.31 / $1,676.54 / $2,450.33	Professional		$1,164.31	$1,676.54	$2,450.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,402.21	Professional		$32.34	$32.34	$1,402.21
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 $1,134.57 / $1,611.09 / $2,329.91	Professional		$1,134.57	$1,611.09	$2,329.91