Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,663.96 / $8,229.00	Facility		$860.00	$1,663.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.94 / $1,478.90 / $1,682.53	Professional		$1,300.94	$1,478.90	$1,682.53
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 $1,210.06 / $1,466.31 / $2,187.96	Professional		$1,210.06	$1,466.31	$2,187.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,568.36 / $2,117.77 / $2,443.00	Facility		$1,568.36	$2,117.77	$2,443.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,512.69 / $2,117.77 / $3,025.38	Professional		$1,512.69	$2,117.77	$3,025.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.14 / $1,860.14 / $2,086.01	Facility		$1,860.14	$1,860.14	$2,086.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.61 / $2,099.16 / $3,051.67	Professional		$1,581.61	$2,099.16	$3,051.67
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 $1,485.49 / $2,136.02 / $3,103.02	Professional		$1,485.49	$2,136.02	$3,103.02