Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,505.17 / $8,229.00	Facility		$896.00	$1,505.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.48 / $1,259.77 / $1,505.17	Professional		$1,084.48	$1,259.77	$1,505.17
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 $1,011.64 / $1,264.06 / $1,895.40	Professional		$1,011.64	$1,264.06	$1,895.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.60 / $1,679.19 / $1,937.07	Facility		$1,162.60	$1,679.19	$1,937.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,172.43 / $1,679.19 / $2,398.84	Professional		$1,172.43	$1,679.19	$2,398.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.08 / $1,471.08 / $1,482.12	Facility		$1,471.08	$1,471.08	$1,482.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.20 / $1,725.50 / $2,492.39	Professional		$1,273.20	$1,725.50	$2,492.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,559.25	Professional		$32.34	$32.34	$1,559.25
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 $1,179.31 / $1,648.77 / $2,474.66	Professional		$1,179.31	$1,648.77	$2,474.66