Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,560.84 / $8,229.00	Facility		$896.00	$1,560.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.55 / $1,152.78 / $1,560.84	Professional		$994.55	$1,152.78	$1,560.84
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 $1,005.87 / $1,206.83 / $1,780.05	Professional		$1,005.87	$1,206.83	$1,780.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,061.26 / $1,536.71 / $1,772.70	Facility		$1,061.26	$1,536.71	$1,772.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,206.35 / $1,536.71 / $2,195.30	Professional		$1,206.35	$1,536.71	$2,195.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.78 / $1,346.78 / $1,536.93	Facility		$1,346.78	$1,346.78	$1,536.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.41 / $1,676.91 / $2,526.31	Professional		$1,186.41	$1,676.91	$2,526.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,426.95	Professional		$32.34	$32.34	$1,426.95
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.66 / $1,574.33 / $2,340.07	Professional		$1,118.66	$1,574.33	$2,340.07