Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,696.94 / $8,229.00	Facility		$787.00	$1,696.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,650.81 / $1,696.94 / $1,950.33	Professional		$1,650.81	$1,696.94	$1,950.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,592.72 / $1,935.23 / $2,670.44	Professional		$1,592.72	$1,935.23	$2,670.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,688.79 / $2,301.10 / $2,654.47	Facility		$1,688.79	$2,301.10	$2,654.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,807.01 / $2,301.10 / $3,287.28	Professional		$1,807.01	$2,301.10	$3,287.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,023.91 / $2,023.91 / $2,023.91	Facility		$2,023.91	$2,023.91	$2,023.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.05 / $2,493.19 / $3,946.78	Professional		$1,712.05	$2,493.19	$3,946.78
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 $1,620.90 / $2,444.07 / $3,501.37	Professional		$1,620.90	$2,444.07	$3,501.37