Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,896.32 / $8,229.00	Facility		$860.00	$1,896.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.50 / $1,747.26 / $1,868.29	Professional		$1,583.50	$1,747.26	$1,868.29
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 $1,625.02 / $1,969.14 / $2,639.40	Professional		$1,625.02	$1,969.14	$2,639.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $2,413.50 / $2,784.15	Facility		$1,765.51	$2,413.50	$2,784.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,982.52 / $2,413.50 / $3,878.84	Professional		$1,982.52	$2,413.50	$3,878.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,105.48 / $2,132.46 / $2,132.46	Facility		$2,105.48	$2,132.46	$2,132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,937.42 / $2,414.16 / $4,142.63	Professional		$1,937.42	$2,414.16	$4,142.63
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 $1,662.43 / $2,444.23 / $3,853.74	Professional		$1,662.43	$2,444.23	$3,853.74