Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,308.09 / $8,229.00	Facility		$860.00	$1,308.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.09 / $1,496.63 / $1,954.78	Professional		$1,308.09	$1,496.63	$1,954.78
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 $942.39 / $1,140.33 / $2,282.03	Professional		$942.39	$1,140.33	$2,282.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,277.81 / $1,741.39 / $2,008.81	Facility		$1,277.81	$1,741.39	$2,008.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,430.43 / $1,741.39 / $2,487.69	Professional		$1,430.43	$1,741.39	$2,487.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.35 / $1,533.35 / $1,533.35	Facility		$1,533.35	$1,533.35	$1,533.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.31 / $1,863.17 / $2,971.29	Professional		$1,553.31	$1,863.17	$2,971.29
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 $1,311.99 / $1,896.66 / $2,793.75	Professional		$1,311.99	$1,896.66	$2,793.75