Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,595.35 / $8,229.00	Facility		$860.00	$1,595.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.67 / $1,595.35 / $2,095.04	Professional		$1,400.67	$1,595.35	$2,095.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $11,253.00 / $32,775.49	Facility		$6,153.00	$11,253.00	$32,775.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.34 / $1,511.01 / $1,990.93	Professional		$1,284.34	$1,511.01	$1,990.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,365.37 / $1,862.07 / $2,148.03	Facility		$1,365.37	$1,862.07	$2,148.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,460.95 / $1,862.07 / $2,660.10	Professional		$1,460.95	$1,862.07	$2,660.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,634.54 / $1,634.54 / $1,903.75	Facility		$1,634.54	$1,634.54	$1,903.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.40 / $2,010.78 / $3,193.52	Professional		$1,659.40	$2,010.78	$3,193.52
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 $1,444.09 / $1,970.88 / $2,871.24	Professional		$1,444.09	$1,970.88	$2,871.24