Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,765.59 / $10,152.00	Facility		$896.00	$1,765.59	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.23 / $1,413.57 / $1,765.59	Professional		$1,334.23	$1,413.57	$1,765.59
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 $1,172.46 / $1,379.37 / $1,794.77	Professional		$1,172.46	$1,379.37	$1,794.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,386.78 / $1,903.43 / $2,195.73	Facility		$1,386.78	$1,903.43	$2,195.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,552.17 / $1,903.43 / $2,719.18	Professional		$1,552.17	$1,903.43	$2,719.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,674.77 / $1,674.77 / $1,674.77	Facility		$1,674.77	$1,674.77	$1,674.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.35 / $1,993.17 / $2,951.05	Professional		$1,494.35	$1,993.17	$2,951.05
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 $1,370.00 / $2,015.52 / $2,664.51	Professional		$1,370.00	$2,015.52	$2,664.51