Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,247.01 / $9,311.00	Facility		$860.00	$2,247.01	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,785.09 / $1,969.04 / $2,101.98	Professional		$1,785.09	$1,969.04	$2,101.98
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 $1,806.88 / $2,189.52 / $2,964.81	Professional		$1,806.88	$2,189.52	$2,964.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,988.53 / $2,717.60 / $3,134.94	Facility		$1,988.53	$2,717.60	$3,134.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,232.31 / $2,717.60 / $4,367.57	Professional		$2,232.31	$2,717.60	$4,367.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,269.67 / $2,402.44 / $2,402.44	Facility		$2,269.67	$2,402.44	$2,402.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,172.84 / $2,694.69 / $4,607.06	Professional		$2,172.84	$2,694.69	$4,607.06
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 $1,848.48 / $2,738.40 / $4,250.95	Professional		$1,848.48	$2,738.40	$4,250.95