Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,738.72 / $5,320.00	Facility		$787.00	$1,738.72	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.45 / $1,592.87 / $2,281.10	Professional		$1,378.45	$1,592.87	$2,281.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.30 / $1,514.13 / $2,269.69	Professional		$1,230.30	$1,514.13	$2,269.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,466.05 / $2,105.75 / $2,429.13	Facility		$1,466.05	$2,105.75	$2,429.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,470.27 / $2,105.75 / $3,008.22	Professional		$1,470.27	$2,105.75	$3,008.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,857.88 / $1,857.88 / $2,246.15	Facility		$1,857.88	$1,857.88	$2,246.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.42 / $2,166.23 / $3,084.12	Professional		$1,561.42	$2,166.23	$3,084.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,955.34	Professional		$32.34	$32.34	$1,955.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.10 / $1,976.54 / $3,076.69	Professional		$1,404.10	$1,976.54	$3,076.69