Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,449.91 / $2,747.00	Facility		$787.00	$1,449.91	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.63 / $1,354.32 / $1,605.16	Professional		$1,137.63	$1,354.32	$1,605.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.86 / $1,371.38 / $1,930.33	Professional		$1,094.86	$1,371.38	$1,930.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,274.68 / $1,845.34 / $2,128.73	Facility		$1,274.68	$1,845.34	$2,128.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.44 / $1,845.34 / $2,636.20	Professional		$1,288.44	$1,845.34	$2,636.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $1,616.23 / $1,842.12	Facility		$1,616.23	$1,616.23	$1,842.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.03 / $1,993.72 / $2,954.73	Professional		$1,424.03	$1,993.72	$2,954.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,713.53	Professional		$32.34	$32.34	$1,713.53
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 $1,345.02 / $1,869.42 / $2,558.54	Professional		$1,345.02	$1,869.42	$2,558.54