Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,338.92 / $8,229.00	Facility		$860.00	$1,338.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.19 / $1,256.85 / $1,551.77	Professional		$1,219.19	$1,256.85	$1,551.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.23 / $1,392.60 / $2,238.19	Professional		$1,149.23	$1,392.60	$2,238.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,250.59 / $1,704.08 / $1,965.78	Facility		$1,250.59	$1,704.08	$1,965.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,325.10 / $1,704.08 / $2,434.40	Professional		$1,325.10	$1,704.08	$2,434.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.66 / $1,498.66 / $1,777.55	Facility		$1,498.66	$1,498.66	$1,777.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.54 / $1,895.46 / $2,883.39	Professional		$1,358.54	$1,895.46	$2,883.39
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.49 / $1,758.82 / $2,421.54	Professional		$1,309.49	$1,758.82	$2,421.54