Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,315.25 / $8,229.00	Facility		$896.00	$1,315.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.72 / $1,210.60 / $1,404.40	Professional		$1,042.72	$1,210.60	$1,404.40
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 $955.03 / $1,178.33 / $1,655.01	Professional		$955.03	$1,178.33	$1,655.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.74 / $1,615.00 / $1,863.01	Facility		$1,117.74	$1,615.00	$1,863.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,153.57 / $1,615.00 / $2,307.14	Professional		$1,153.57	$1,615.00	$2,307.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.43 / $1,413.76 / $1,413.76	Facility		$1,264.43	$1,413.76	$1,413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.16 / $1,659.51 / $2,341.71	Professional		$1,202.16	$1,659.51	$2,341.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,499.64	Professional		$32.34	$32.34	$1,499.64
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 $1,085.02 / $1,510.68 / $2,373.77	Professional		$1,085.02	$1,510.68	$2,373.77