Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,731.46 / $9,311.00	Facility		$860.00	$1,731.46	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.07 / $1,341.31 / $1,730.14	Professional		$1,335.07	$1,341.31	$1,730.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.91 / $1,513.39 / $2,051.07	Professional		$1,248.91	$1,513.39	$2,051.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,298.89 / $1,782.79 / $2,056.58	Facility		$1,298.89	$1,782.79	$2,056.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,464.43 / $1,782.79 / $2,546.84	Professional		$1,464.43	$1,782.79	$2,546.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.62 / $1,582.62 / $1,748.93	Facility		$1,582.62	$1,582.62	$1,748.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.53 / $1,842.39 / $3,188.66	Professional		$1,419.53	$1,842.39	$3,188.66
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.82 / $1,912.72 / $2,817.40	Professional		$1,265.82	$1,912.72	$2,817.40