Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,503.61 / $2,747.00	Facility		$787.00	$1,503.61	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.09 / $1,331.48 / $1,732.57	Professional		$1,145.09	$1,331.48	$1,732.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.11 / $1,361.31 / $1,871.07	Professional		$1,096.11	$1,361.31	$1,871.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.73 / $1,776.17 / $2,220.21	Facility		$1,230.73	$1,776.17	$2,220.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,395.27 / $1,776.17 / $2,537.38	Professional		$1,395.27	$1,776.17	$2,537.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $1,554.52	Facility		$1,554.52	$1,554.52	$1,554.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.89 / $1,888.17 / $2,605.38	Professional		$1,348.89	$1,888.17	$2,605.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,649.30	Professional		$32.34	$32.34	$1,649.30
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 $1,245.61 / $1,736.73 / $2,613.42	Professional		$1,245.61	$1,736.73	$2,613.42