Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,409.38 / $8,229.00	Facility		$860.00	$1,409.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.65 / $1,322.88 / $1,634.56	Professional		$1,277.65	$1,322.88	$1,634.56
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 $1,228.31 / $1,488.43 / $2,283.86	Professional		$1,228.31	$1,488.43	$2,283.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.53 / $1,793.75 / $2,069.21	Facility		$1,316.53	$1,793.75	$2,069.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,252.42 / $1,793.75 / $2,562.50	Professional		$1,252.42	$1,793.75	$2,562.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,578.12 / $1,578.12 / $1,829.91	Facility		$1,578.12	$1,578.12	$1,829.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.66 / $1,973.40 / $3,011.92	Professional		$1,391.66	$1,973.40	$3,011.92
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 $1,246.14 / $1,884.89 / $2,722.96	Professional		$1,246.14	$1,884.89	$2,722.96