Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,499.43 / $8,229.00	Facility		$860.00	$1,499.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.43 / $1,703.88 / $2,237.33	Professional		$1,499.43	$1,703.88	$2,237.33
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 $1,221.86 / $1,480.63 / $2,139.37	Professional		$1,221.86	$1,480.63	$2,139.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,449.98 / $1,990.17 / $2,295.81	Facility		$1,449.98	$1,990.17	$2,295.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,561.00 / $1,990.17 / $2,843.10	Professional		$1,561.00	$1,990.17	$2,843.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,715.24 / $1,747.52 / $1,747.52	Facility		$1,715.24	$1,747.52	$1,747.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.77 / $2,169.02 / $3,402.23	Professional		$1,604.77	$2,169.02	$3,402.23
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 $1,525.95 / $2,297.19 / $3,234.50	Professional		$1,525.95	$2,297.19	$3,234.50