Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,350.03 / $8,229.00	Facility		$860.00	$1,350.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.78 / $1,175.88 / $1,402.80	Professional		$1,139.78	$1,175.88	$1,402.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.45 / $1,249.88 / $1,672.20	Professional		$1,031.45	$1,249.88	$1,672.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.74 / $1,495.20 / $1,724.82	Facility		$1,089.74	$1,495.20	$1,724.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,228.20 / $1,495.20 / $2,136.00	Professional		$1,228.20	$1,495.20	$2,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,136.74 / $1,311.59 / $1,311.59	Facility		$1,136.74	$1,311.59	$1,311.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.34 / $1,628.53 / $2,497.66	Professional		$1,128.34	$1,628.53	$2,497.66
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.25 / $1,582.80 / $2,281.06	Professional		$1,118.25	$1,582.80	$2,281.06