Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,752.74 / $10,152.00	Facility		$896.00	$1,752.74	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.44 / $1,464.60 / $1,752.74	Professional		$1,382.44	$1,464.60	$1,752.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.93 / $1,369.33 / $1,824.31	Professional		$1,163.93	$1,369.33	$1,824.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.30 / $1,972.77 / $2,275.73	Facility		$1,445.30	$1,972.77	$2,275.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,550.03 / $1,972.77 / $2,818.24	Professional		$1,550.03	$1,972.77	$2,818.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.33 / $1,736.33 / $1,736.33	Facility		$1,736.33	$1,736.33	$1,736.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.67 / $1,985.52 / $2,929.45	Professional		$1,484.67	$1,985.52	$2,929.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $1,349.82 / $2,024.23 / $2,905.21	Professional		$1,349.82	$2,024.23	$2,905.21