Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,318.70 / $8,229.00	Facility		$860.00	$1,318.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.76 / $1,234.04 / $1,338.68	Professional		$1,118.76	$1,234.04	$1,338.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.26 / $1,227.83 / $1,753.91	Professional		$1,013.26	$1,227.83	$1,753.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,228.84 / $1,678.35 / $1,936.10	Facility		$1,228.84	$1,678.35	$1,936.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.87 / $1,678.35 / $2,397.64	Professional		$1,314.87	$1,678.35	$2,397.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.10 / $1,479.08 / $1,479.08	Facility		$1,252.10	$1,479.08	$1,479.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.10 / $1,713.40 / $2,564.71	Professional		$1,252.10	$1,713.40	$2,564.71
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.42 / $1,701.67 / $2,516.21	Professional		$1,088.42	$1,701.67	$2,516.21