Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,439.00 / $8,229.00	Facility		$896.00	$1,439.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.76 / $1,180.64 / $1,439.00	Professional		$1,013.76	$1,180.64	$1,439.00
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 $942.55 / $1,173.49 / $1,682.20	Professional		$942.55	$1,173.49	$1,682.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.06 / $1,574.19 / $1,815.94	Facility		$1,092.06	$1,574.19	$1,815.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,124.42 / $1,574.19 / $2,248.84	Professional		$1,124.42	$1,574.19	$2,248.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $1,378.21 / $1,416.95	Facility		$1,378.21	$1,378.21	$1,416.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.16 / $1,675.72 / $2,523.00	Professional		$1,196.16	$1,675.72	$2,523.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,461.75	Professional		$32.34	$32.34	$1,461.75
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 $1,071.45 / $1,530.65 / $2,313.56	Professional		$1,071.45	$1,530.65	$2,313.56