Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,061.75 / $9,311.00	Facility		$860.00	$2,061.75	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,649.37 / $1,819.75 / $2,061.75	Professional		$1,649.37	$1,819.75	$2,061.75
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 $1,678.70 / $2,034.20 / $2,730.03	Professional		$1,678.70	$2,034.20	$2,730.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,836.52 / $2,509.21 / $2,894.57	Facility		$1,836.52	$2,509.21	$2,894.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,035.68 / $2,509.21 / $4,032.68	Professional		$2,035.68	$2,509.21	$4,032.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,082.55 / $2,219.69 / $2,219.69	Facility		$2,082.55	$2,219.69	$2,219.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.11 / $2,502.52 / $4,265.41	Professional		$2,004.11	$2,502.52	$4,265.41
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 / $5,592.00 / $10,113.00	Facility		$842.00	$5,592.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,717.35 / $2,518.85 / $3,920.30	Professional		$1,717.35	$2,518.85	$3,920.30