Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,305.88 / $8,229.00	Facility		$860.00	$1,305.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.07 / $1,160.44 / $1,316.85	Professional		$1,020.07	$1,160.44	$1,316.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.69 / $1,136.27 / $1,763.20	Professional		$937.69	$1,136.27	$1,763.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.93 / $1,662.02 / $1,917.27	Facility		$1,230.93	$1,662.02	$1,917.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,273.59 / $1,662.02 / $2,374.32	Professional		$1,273.59	$1,662.02	$2,374.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.51 / $1,459.51 / $1,674.11	Facility		$1,459.51	$1,459.51	$1,674.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.43 / $1,691.95 / $2,365.17	Professional		$1,220.43	$1,691.95	$2,365.17
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 $1,151.14 / $1,673.45 / $2,423.92	Professional		$1,151.14	$1,673.45	$2,423.92