Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,839.08 / $8,229.00	Facility		$860.00	$1,839.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,437.47 / $1,635.04 / $1,962.80	Professional		$1,437.47	$1,635.04	$1,962.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.10 / $1,566.95 / $2,421.23	Professional		$1,293.10	$1,566.95	$2,421.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,733.50 / $2,340.65 / $2,700.11	Facility		$1,733.50	$2,340.65	$2,700.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,788.99 / $2,340.65 / $3,761.75	Professional		$1,788.99	$2,340.65	$3,761.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,056.42 / $2,056.42 / $2,425.82	Facility		$2,056.42	$2,056.42	$2,425.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,713.69 / $2,259.82 / $3,318.87	Professional		$1,713.69	$2,259.82	$3,318.87
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,550.44 / $2,314.07 / $3,426.39	Professional		$1,550.44	$2,314.07	$3,426.39