Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,167.68 / $8,229.00	Facility		$860.00	$1,167.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.57 / $1,120.89 / $1,335.39	Professional		$913.57	$1,120.89	$1,335.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.50 / $1,072.08 / $1,539.82	Professional		$819.50	$1,072.08	$1,539.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.13 / $1,607.31 / $1,854.15	Facility		$1,076.13	$1,607.31	$1,854.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.08 / $1,513.26 / $2,296.16	Professional		$1,148.08	$1,513.26	$2,296.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $1,409.80 / $1,443.14	Facility		$1,409.80	$1,409.80	$1,443.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,564.72 / $2,189.54	Professional		$1,166.75	$1,564.72	$2,189.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,492.50	Professional		$32.34	$32.34	$1,492.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.81 / $1,382.07 / $2,024.51	Professional		$1,043.81	$1,382.07	$2,024.51