Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,870.80 / $8,229.00	Facility		$896.00	$1,870.80	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.53 / $1,255.24 / $1,614.98	Professional		$1,080.53	$1,255.24	$1,614.98
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 $1,023.62 / $1,277.46 / $1,883.20	Professional		$1,023.62	$1,277.46	$1,883.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,158.98 / $1,673.95 / $1,931.03	Facility		$1,158.98	$1,673.95	$1,931.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.71 / $1,673.95 / $2,391.36	Professional		$1,314.71	$1,673.95	$2,391.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,524.49	Facility		$1,465.76	$1,465.76	$1,524.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.60 / $1,763.76 / $2,536.76	Professional		$1,275.60	$1,763.76	$2,536.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,554.38	Professional		$32.34	$32.34	$1,554.38
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 $1,218.77 / $1,642.79 / $2,467.38	Professional		$1,218.77	$1,642.79	$2,467.38