Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,547.17 / $8,229.00	Facility		$860.00	$1,547.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.42 / $1,447.42 / $1,557.61	Professional		$1,312.42	$1,447.42	$1,557.61
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 $1,204.04 / $1,459.02 / $2,081.60	Professional		$1,204.04	$1,459.02	$2,081.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,434.65 / $1,969.13 / $2,271.53	Facility		$1,434.65	$1,969.13	$2,271.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,547.17 / $1,969.13 / $2,813.04	Professional		$1,547.17	$1,969.13	$2,813.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.15 / $1,734.54 / $1,734.54	Facility		$1,513.15	$1,734.54	$1,734.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.21 / $2,017.92 / $3,046.49	Professional		$1,479.21	$2,017.92	$3,046.49
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 $1,269.96 / $2,000.24 / $2,929.34	Professional		$1,269.96	$2,000.24	$2,929.34