Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,519.88 / $8,229.00	Facility		$860.00	$1,519.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.97 / $1,233.74 / $1,939.37	Professional		$1,061.97	$1,233.74	$1,939.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.28 / $1,253.76 / $1,835.60	Professional		$1,032.28	$1,253.76	$1,835.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,138.20 / $1,644.40 / $1,896.92	Facility		$1,138.20	$1,644.40	$1,896.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,291.39 / $1,644.40 / $2,349.14	Professional		$1,291.39	$1,644.40	$2,349.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.74 / $1,440.74 / $1,496.60	Facility		$1,440.74	$1,440.74	$1,496.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.27 / $1,731.88 / $2,497.63	Professional		$1,253.27	$1,731.88	$2,497.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,526.94	Professional		$32.34	$32.34	$1,526.94
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.74 / $1,627.63 / $2,434.07	Professional		$1,144.74	$1,627.63	$2,434.07