Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,440.06 / $2,747.00	Facility		$787.00	$1,440.06	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.07 / $1,263.83 / $1,536.88	Professional		$1,092.07	$1,263.83	$1,536.88
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 $1,067.99 / $1,331.22 / $1,867.90	Professional		$1,067.99	$1,331.22	$1,867.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,224.07 / $1,771.59 / $2,043.66	Facility		$1,224.07	$1,771.59	$2,043.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,390.95 / $1,727.92 / $2,530.84	Professional		$1,390.95	$1,727.92	$2,530.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $1,551.17 / $1,779.77	Facility		$1,551.17	$1,551.17	$1,779.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.29 / $1,879.93 / $2,801.11	Professional		$1,406.29	$1,879.93	$2,801.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,645.05	Professional		$32.34	$32.34	$1,645.05
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 $1,290.13 / $1,754.60 / $2,480.04	Professional		$1,290.13	$1,754.60	$2,480.04