Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,659.88 / $8,229.00	Facility		$860.00	$1,659.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.21 / $1,557.81 / $1,922.50	Professional		$1,512.21	$1,557.81	$1,922.50
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 $1,437.05 / $1,741.37 / $2,565.10	Professional		$1,437.05	$1,741.37	$2,565.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,550.33 / $2,112.57 / $2,437.00	Facility		$1,550.33	$2,112.57	$2,437.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,475.03 / $2,112.57 / $3,017.96	Professional		$1,475.03	$2,112.57	$3,017.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.69 / $1,858.69 / $2,307.38	Facility		$1,858.69	$1,858.69	$2,307.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,690.01 / $2,307.38 / $3,583.01	Professional		$1,690.01	$2,307.38	$3,583.01
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 $1,460.99 / $2,205.19 / $3,215.98	Professional		$1,460.99	$2,205.19	$3,215.98