Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,758.00 / $8,229.00	Facility		$637.00	$1,758.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,680.71 / $1,930.70 / $2,503.40	Professional		$1,680.71	$1,930.70	$2,503.40
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 $1,317.35 / $1,549.83 / $2,231.92	Professional		$1,317.35	$1,549.83	$2,231.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,641.80 / $2,235.23 / $2,578.48	Facility		$1,641.80	$2,235.23	$2,578.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,756.73 / $2,235.23 / $3,193.18	Professional		$1,756.73	$2,235.23	$3,193.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.00 / $1,963.00 / $1,963.00	Facility		$1,963.00	$1,963.00	$1,963.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.01 / $2,340.53 / $4,227.55	Professional		$1,714.01	$2,340.53	$4,227.55
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 $1,690.92 / $2,580.98 / $3,424.20	Professional		$1,690.92	$2,580.98	$3,424.20