Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,758.00 / $8,229.00	Facility		$787.00	$1,758.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.16 / $1,617.75 / $2,079.88	Professional		$1,393.16	$1,617.75	$2,079.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,749.00 / $14,818.00	Facility		$8,584.00	$10,749.00	$14,818.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,391.55 / $1,655.55 / $2,365.16	Professional		$1,391.55	$1,655.55	$2,365.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,492.25 / $2,157.36 / $2,488.66	Facility		$1,492.25	$2,157.36	$2,488.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,540.97 / $2,157.36 / $3,081.94	Professional		$1,540.97	$2,157.36	$3,081.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $8,380.00	Facility		$1,889.38	$1,889.38	$8,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.14 / $2,267.71 / $3,237.40	Professional		$1,651.14	$2,267.71	$3,237.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,003.26	Professional		$32.34	$32.34	$2,003.26
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 $1,532.45 / $2,189.05 / $3,212.10	Professional		$1,532.45	$2,189.05	$3,212.10