Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,615.30 / $8,229.00	Facility		$896.00	$1,615.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.59 / $1,436.06 / $1,668.09	Professional		$1,280.59	$1,436.06	$1,668.09
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 $943.98 / $1,221.99 / $1,953.33	Professional		$943.98	$1,221.99	$1,953.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,371.97 / $1,984.18 / $2,288.89	Facility		$1,371.97	$1,984.18	$2,288.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,417.27 / $1,984.18 / $2,834.54	Professional		$1,417.27	$1,984.18	$2,834.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.41 / $1,736.58 / $1,736.58	Facility		$1,374.41	$1,736.58	$1,736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.80 / $1,644.99 / $2,829.53	Professional		$1,089.80	$1,644.99	$2,829.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,842.45	Professional		$32.34	$32.34	$1,842.45
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 $1,024.73 / $1,766.99 / $2,910.46	Professional		$1,024.73	$1,766.99	$2,910.46