Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,244.04 / $8,229.00	Facility		$860.00	$1,244.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.24 / $1,165.79 / $1,442.56	Professional		$1,129.24	$1,165.79	$1,442.56
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 $1,063.79 / $1,289.07 / $1,928.20	Professional		$1,063.79	$1,289.07	$1,928.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.32 / $1,583.33 / $1,826.49	Facility		$1,162.32	$1,583.33	$1,826.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,234.39 / $1,583.33 / $2,261.90	Professional		$1,234.39	$1,583.33	$2,261.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.08 / $1,391.08 / $1,761.64	Facility		$1,391.08	$1,391.08	$1,761.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.70 / $1,721.96 / $2,668.11	Professional		$1,251.70	$1,721.96	$2,668.11
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 $1,066.67 / $1,620.51 / $2,398.42	Professional		$1,066.67	$1,620.51	$2,398.42