Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,542.98 / $8,229.00	Facility		$896.00	$1,542.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.92 / $1,270.21 / $1,542.98	Professional		$1,104.92	$1,270.21	$1,542.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.10 / $1,360.51 / $1,933.91	Professional		$1,100.10	$1,360.51	$1,933.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.54 / $1,789.44 / $2,064.23	Facility		$1,215.54	$1,789.44	$2,064.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,411.13 / $1,789.44 / $2,556.34	Professional		$1,411.13	$1,789.44	$2,556.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,906.97	Facility		$1,570.90	$1,570.90	$1,906.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.11 / $1,921.59 / $2,656.59	Professional		$1,395.11	$1,921.59	$2,656.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,661.62	Professional		$32.34	$32.34	$1,661.62
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.65 / $1,760.32 / $2,413.69	Professional		$1,308.65	$1,760.32	$2,413.69