Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,521.15 / $8,229.00	Facility		$860.00	$1,521.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.30 / $1,300.74 / $1,549.91	Professional		$1,259.30	$1,300.74	$1,549.91
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 $1,145.65 / $1,388.26 / $1,839.30	Professional		$1,145.65	$1,388.26	$1,839.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.39 / $1,651.08 / $1,904.64	Facility		$1,203.39	$1,651.08	$1,904.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,331.29 / $1,651.08 / $2,358.67	Professional		$1,331.29	$1,651.08	$2,358.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.83 / $1,448.00 / $1,448.00	Facility		$1,280.83	$1,448.00	$1,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.55 / $1,718.78 / $2,764.12	Professional		$1,239.55	$1,718.78	$2,764.12
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.03 / $1,748.42 / $2,508.23	Professional		$1,172.03	$1,748.42	$2,508.23