Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,508.34 / $8,229.00	Facility		$896.00	$1,508.34	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.80 / $1,382.80 / $1,606.13	Professional		$1,195.80	$1,382.80	$1,606.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.36 / $1,281.58 / $1,824.59	Professional		$1,030.36	$1,281.58	$1,824.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,274.66 / $1,830.26 / $2,111.34	Facility		$1,274.66	$1,830.26	$2,111.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,438.06 / $1,830.26 / $2,614.66	Professional		$1,438.06	$1,830.26	$2,614.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,447.58 / $1,612.82 / $1,612.82	Facility		$1,447.58	$1,612.82	$1,612.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.95 / $1,878.73 / $2,652.19	Professional		$1,343.95	$1,878.73	$2,652.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,699.53	Professional		$32.34	$32.34	$1,699.53
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.74 / $1,661.18 / $2,600.14	Professional		$1,187.74	$1,661.18	$2,600.14