Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,536.07 / $8,229.00	Facility		$896.00	$1,536.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.80 / $1,240.92 / $1,585.10	Professional		$1,059.80	$1,240.92	$1,585.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,026.95 / $1,248.58 / $1,795.40	Professional		$1,026.95	$1,248.58	$1,795.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,146.25 / $1,655.40 / $1,909.63	Facility		$1,146.25	$1,655.40	$1,909.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.17 / $1,655.40 / $2,364.86	Professional		$1,300.17	$1,655.40	$2,364.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $1,449.04 / $1,512.54	Facility		$1,449.04	$1,449.04	$1,512.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.82 / $1,742.50 / $2,511.50	Professional		$1,260.82	$1,742.50	$2,511.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,537.16	Professional		$32.34	$32.34	$1,537.16
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 $1,140.01 / $1,596.67 / $2,436.66	Professional		$1,140.01	$1,596.67	$2,436.66