Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,860.57 / $8,229.00	Facility		$896.00	$1,860.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.05 / $1,654.74 / $1,860.57	Professional		$1,475.05	$1,654.74	$1,860.57
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 $1,056.75 / $1,409.01 / $2,272.26	Professional		$1,056.75	$1,409.01	$2,272.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,577.40 / $2,283.82 / $2,634.56	Facility		$1,577.40	$2,283.82	$2,634.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,792.99 / $2,283.82 / $3,262.60	Professional		$1,792.99	$2,283.82	$3,262.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $1,999.50 / $1,999.50	Facility		$1,471.00	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,909.40 / $3,378.06	Professional		$1,225.70	$1,909.40	$3,378.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,120.69	Professional		$32.34	$32.34	$2,120.69
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 $1,106.41 / $1,801.96 / $3,355.75	Professional		$1,106.41	$1,801.96	$3,355.75