Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,632.15 / $8,229.00	Facility		$860.00	$1,632.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.94 / $1,632.15 / $1,875.02	Professional		$1,578.94	$1,632.15	$1,875.02
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 $1,180.47 / $1,430.45 / $2,339.88	Professional		$1,180.47	$1,430.45	$2,339.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,625.61 / $2,214.92 / $2,555.08	Facility		$1,625.61	$2,214.92	$2,555.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,724.11 / $2,214.92 / $3,164.18	Professional		$1,724.11	$2,214.92	$3,164.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,373.89 / $1,949.35 / $1,949.35	Facility		$1,373.89	$1,949.35	$1,949.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.87 / $2,303.17 / $3,516.04	Professional		$1,527.87	$2,303.17	$3,516.04
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 $1,421.29 / $2,154.31 / $3,266.63	Professional		$1,421.29	$2,154.31	$3,266.63