Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,303.21 / $8,229.00	Facility		$787.00	$1,303.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,273.36 / $1,574.46	Professional		$1,163.63	$1,273.36	$1,574.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.16 / $1,233.47 / $1,752.72	Professional		$1,015.16	$1,233.47	$1,752.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.44 / $1,658.64 / $1,913.36	Facility		$1,208.44	$1,658.64	$1,913.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,299.06 / $1,658.64 / $2,369.48	Professional		$1,299.06	$1,658.64	$2,369.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,455.76 / $1,455.76 / $1,455.76	Facility		$1,455.76	$1,455.76	$1,455.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.71 / $1,611.78 / $2,436.06	Professional		$1,235.71	$1,611.78	$2,436.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,303.21	Professional		$32.34	$32.34	$1,303.21
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $19,776.00	Facility		$631.00	$1,121.00	$19,776.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.92 / $1,542.37 / $2,491.91	Professional		$1,142.92	$1,542.37	$2,491.91