Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,379.12 / $8,229.00	Facility		$860.00	$1,379.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.72 / $1,268.82 / $1,506.78	Professional		$1,107.72	$1,268.82	$1,506.78
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 $981.75 / $1,189.66 / $1,791.20	Professional		$981.75	$1,189.66	$1,791.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $1,806.38 / $2,083.79	Facility		$1,207.00	$1,806.38	$2,083.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,261.24 / $1,696.59 / $2,580.54	Professional		$1,261.24	$1,696.59	$2,580.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $1,585.07 / $1,704.45	Facility		$1,585.07	$1,585.07	$1,704.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.78 / $1,841.07 / $2,421.71	Professional		$1,363.78	$1,841.07	$2,421.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,677.35	Professional		$32.34	$32.34	$1,677.35
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 $1,261.11 / $1,698.44 / $2,336.65	Professional		$1,261.11	$1,698.44	$2,336.65