Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,964.32 / $10,152.00	Facility		$896.00	$1,964.32	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.15 / $1,729.25 / $1,845.03	Professional		$1,567.15	$1,729.25	$1,845.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,557.45 / $1,887.27 / $2,537.80	Professional		$1,557.45	$1,887.27	$2,537.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,744.92 / $2,383.71 / $2,749.78	Facility		$1,744.92	$2,383.71	$2,749.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,935.28 / $2,383.71 / $3,830.96	Professional		$1,935.28	$2,383.71	$3,830.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,984.14 / $2,108.98 / $2,108.98	Facility		$1,984.14	$2,108.98	$2,108.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.52 / $2,345.44 / $4,018.37	Professional		$1,900.52	$2,345.44	$4,018.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $1,630.78 / $2,420.48 / $3,568.87	Professional		$1,630.78	$2,420.48	$3,568.87