Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,643.31 / $8,229.00	Facility		$896.00	$1,643.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.03 / $1,356.64 / $1,744.39	Professional		$1,168.03	$1,356.64	$1,744.39
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 $1,029.66 / $1,341.82 / $1,981.08	Professional		$1,029.66	$1,341.82	$1,981.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,251.43 / $1,809.33 / $2,087.19	Facility		$1,251.43	$1,809.33	$2,087.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,292.38 / $1,809.33 / $2,584.76	Professional		$1,292.38	$1,809.33	$2,584.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,618.14	Facility		$1,584.46	$1,584.46	$1,618.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.19 / $1,850.67 / $2,850.76	Professional		$1,377.19	$1,850.67	$2,850.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,680.09	Professional		$32.34	$32.34	$1,680.09
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 $1,216.99 / $1,709.46 / $2,664.21	Professional		$1,216.99	$1,709.46	$2,664.21