Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,634.70 / $8,229.00	Facility		$860.00	$1,634.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,376.86 / $1,419.60 / $1,694.60	Professional		$1,376.86	$1,419.60	$1,694.60
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 $1,242.02 / $1,505.05 / $2,093.30	Professional		$1,242.02	$1,505.05	$2,093.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,314.96 / $1,804.85 / $2,082.02	Facility		$1,314.96	$1,804.85	$2,082.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,454.15 / $1,804.85 / $2,900.66	Professional		$1,454.15	$1,804.85	$2,900.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,376.43 / $1,582.97 / $1,582.97	Facility		$1,376.43	$1,582.97	$1,582.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.52 / $1,979.16 / $3,016.87	Professional		$1,353.52	$1,979.16	$3,016.87
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 $1,355.76 / $1,971.66 / $2,739.57	Professional		$1,355.76	$1,971.66	$2,739.57