Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,486.56 / $8,229.00	Facility		$860.00	$1,486.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.30 / $1,305.61 / $1,702.89	Professional		$1,139.30	$1,305.61	$1,702.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.27 / $1,253.29 / $1,817.73	Professional		$1,034.27	$1,253.29	$1,817.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,114.10 / $1,517.52 / $1,750.57	Facility		$1,114.10	$1,517.52	$1,750.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,184.61 / $1,517.52 / $2,167.88	Professional		$1,184.61	$1,517.52	$2,167.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.73 / $1,333.73 / $1,773.92	Facility		$1,333.73	$1,333.73	$1,773.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.31 / $1,677.01 / $2,609.61	Professional		$1,342.31	$1,677.01	$2,609.61
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 $1,322.00 / $6,378.00 / $18,870.00	Facility		$1,322.00	$6,378.00	$18,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.84 / $1,653.48 / $2,320.67	Professional		$1,145.84	$1,653.48	$2,320.67