Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,841.47 / $8,229.00	Facility		$860.00	$1,841.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.82 / $1,495.74 / $1,922.83	Professional		$1,287.82	$1,495.74	$1,922.83
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 $1,215.98 / $1,524.69 / $2,216.50	Professional		$1,215.98	$1,524.69	$2,216.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.54 / $1,995.97 / $2,302.50	Facility		$1,380.54	$1,995.97	$2,302.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,393.61 / $1,948.79 / $2,851.38	Professional		$1,393.61	$1,948.79	$2,851.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,813.25	Facility		$1,747.00	$1,747.00	$1,813.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.53 / $2,121.73 / $3,001.77	Professional		$1,529.53	$2,121.73	$3,001.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,853.40	Professional		$32.34	$32.34	$1,853.40
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 $1,385.07 / $1,956.60 / $2,976.80	Professional		$1,385.07	$1,956.60	$2,976.80