Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,018.94 / $10,152.00	Facility		$896.00	$2,018.94	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,503.34 / $1,593.07 / $2,018.94	Professional		$1,503.34	$1,593.07	$2,018.94
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 $1,340.70 / $1,577.30 / $2,052.31	Professional		$1,340.70	$1,577.30	$2,052.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,563.04 / $2,132.12 / $2,459.55	Facility		$1,563.04	$2,132.12	$2,459.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,743.43 / $2,132.12 / $3,045.88	Professional		$1,743.43	$2,132.12	$3,045.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,885.35 / $1,885.35 / $1,885.35	Facility		$1,885.35	$1,885.35	$1,885.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.06 / $2,281.28 / $3,374.59	Professional		$1,696.06	$2,281.28	$3,374.59
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 $1,559.50 / $2,302.87 / $3,176.77	Professional		$1,559.50	$2,302.87	$3,176.77