Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,929.37 / $8,229.00	Facility		$896.00	$1,929.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.48 / $1,532.38 / $1,969.63	Professional		$1,320.48	$1,532.38	$1,969.63
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 $1,114.73 / $1,443.02 / $2,186.00	Professional		$1,114.73	$1,443.02	$2,186.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.98 / $2,044.34 / $2,358.28	Facility		$1,412.98	$2,044.34	$2,358.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,606.26 / $2,044.34 / $2,920.48	Professional		$1,606.26	$2,044.34	$2,920.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,899.81	Facility		$1,790.02	$1,790.02	$1,899.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.51 / $2,069.17 / $3,206.24	Professional		$1,555.51	$2,069.17	$3,206.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,898.31	Professional		$32.34	$32.34	$1,898.31
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 $1,386.45 / $1,904.16 / $3,001.63	Professional		$1,386.45	$1,904.16	$3,001.63