Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,075.40 / $9,311.00	Facility		$860.00	$2,075.40	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.25 / $1,648.23 / $2,075.40	Professional		$1,556.25	$1,648.23	$2,075.40
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 $1,378.19 / $1,621.41 / $2,109.71	Professional		$1,378.19	$1,621.41	$2,109.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,616.46 / $2,218.66 / $2,559.40	Facility		$1,616.46	$2,218.66	$2,559.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,804.50 / $2,218.66 / $3,169.52	Professional		$1,804.50	$2,218.66	$3,169.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.52 / $1,952.52 / $1,952.52	Facility		$1,952.52	$1,952.52	$1,952.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.18 / $2,340.13 / $3,468.79	Professional		$1,748.18	$2,340.13	$3,468.79
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 $1,607.69 / $2,469.23 / $3,042.17	Professional		$1,607.69	$2,469.23	$3,042.17