Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,775.39 / $8,229.00	Facility		$896.00	$1,775.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.58 / $1,477.17 / $2,424.88	Professional		$1,220.58	$1,477.17	$2,424.88
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 $1,177.42 / $1,443.58 / $2,144.00	Professional		$1,177.42	$1,443.58	$2,144.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,307.98 / $1,891.25 / $2,181.69	Facility		$1,307.98	$1,891.25	$2,181.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,320.49 / $1,847.27 / $2,701.78	Professional		$1,320.49	$1,847.27	$2,701.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,656.40 / $1,656.40 / $1,748.20	Facility		$1,656.40	$1,656.40	$1,748.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.21 / $2,010.32 / $2,906.65	Professional		$1,449.21	$2,010.32	$2,906.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,756.16	Professional		$32.34	$32.34	$1,756.16
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 $1,311.39 / $1,918.69 / $2,821.04	Professional		$1,311.39	$1,918.69	$2,821.04