Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,644.06 / $8,229.00	Facility		$860.00	$1,644.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.82 / $1,366.24 / $1,762.19	Professional		$1,197.82	$1,366.24	$1,762.19
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 $1,147.50 / $1,390.87 / $1,826.80	Professional		$1,147.50	$1,390.87	$1,826.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,166.32 / $1,591.23 / $1,835.59	Facility		$1,166.32	$1,591.23	$1,835.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,307.08 / $1,591.23 / $2,557.33	Professional		$1,307.08	$1,591.23	$2,557.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.24 / $1,401.24 / $1,401.24	Facility		$1,401.24	$1,401.24	$1,401.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.22 / $1,744.40 / $2,808.55	Professional		$1,433.22	$1,744.40	$2,808.55
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.95 / $2,066.37 / $2,597.19	Professional		$1,234.95	$2,066.37	$2,597.19