Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,762.38 / $8,229.00	Facility		$637.00	$1,762.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.07 / $1,651.22 / $1,793.74	Professional		$1,470.07	$1,651.22	$1,793.74
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 $1,383.42 / $1,676.39 / $2,350.08	Professional		$1,383.42	$1,676.39	$2,350.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,634.21 / $2,243.02 / $2,587.50	Facility		$1,634.21	$2,243.02	$2,587.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,798.92 / $2,243.02 / $3,204.32	Professional		$1,798.92	$2,243.02	$3,204.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.99 / $1,976.84 / $1,976.84	Facility		$1,734.99	$1,976.84	$1,976.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.37 / $2,195.15 / $3,470.59	Professional		$1,647.37	$2,195.15	$3,470.59
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 $1,486.03 / $2,324.07 / $3,340.28	Professional		$1,486.03	$2,324.07	$3,340.28