Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,585.32 / $8,229.00	Facility		$860.00	$1,585.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.96 / $1,496.55 / $1,967.74	Professional		$1,314.96	$1,496.55	$1,967.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.10 / $1,434.87 / $2,113.90	Professional		$1,184.10	$1,434.87	$2,113.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,281.90 / $1,748.14 / $2,016.60	Facility		$1,281.90	$1,748.14	$2,016.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,248.67 / $1,748.14 / $2,497.34	Professional		$1,248.67	$1,748.14	$2,497.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.37 / $1,534.37 / $1,891.78	Facility		$1,534.37	$1,534.37	$1,891.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.39 / $1,944.00 / $2,989.54	Professional		$1,564.39	$1,944.00	$2,989.54
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 $1,350.47 / $1,995.09 / $2,853.12	Professional		$1,350.47	$1,995.09	$2,853.12