Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,262.79 / $8,229.00	Facility		$860.00	$1,262.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.66 / $1,146.14 / $1,395.31	Professional		$989.66	$1,146.14	$1,395.31
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 $973.36 / $1,207.50 / $1,783.98	Professional		$973.36	$1,207.50	$1,783.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.08 / $1,607.19 / $1,854.00	Facility		$1,111.08	$1,607.19	$1,854.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.99 / $1,568.48 / $2,295.98	Professional		$1,147.99	$1,568.48	$2,295.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,719.63	Facility		$1,407.20	$1,407.20	$1,719.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.57 / $1,750.28 / $2,442.37	Professional		$1,274.57	$1,750.28	$2,442.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,492.39	Professional		$32.34	$32.34	$1,492.39
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 $1,157.46 / $1,605.45 / $2,244.91	Professional		$1,157.46	$1,605.45	$2,244.91