Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,563.44 / $8,229.00	Facility		$860.00	$1,563.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.44 / $1,779.19 / $2,337.89	Professional		$1,563.44	$1,779.19	$2,337.89
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 $1,421.25 / $1,672.07 / $2,248.02	Professional		$1,421.25	$1,672.07	$2,248.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,514.65 / $2,078.92 / $2,398.19	Facility		$1,514.65	$2,078.92	$2,398.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,451.54 / $2,078.92 / $2,969.90	Professional		$1,451.54	$2,078.92	$2,969.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,824.40 / $1,824.40 / $1,824.40	Facility		$1,824.40	$1,824.40	$1,824.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,841.00 / $2,271.94 / $3,583.10	Professional		$1,841.00	$2,271.94	$3,583.10
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 $1,614.15 / $2,448.80 / $3,369.02	Professional		$1,614.15	$2,448.80	$3,369.02