Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,421.13 / $8,229.00	Facility		$860.00	$1,421.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.33 / $1,285.98 / $1,686.33	Professional		$1,125.33	$1,285.98	$1,686.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.96 / $1,238.38 / $1,814.79	Professional		$1,021.96	$1,238.38	$1,814.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,097.96 / $1,497.01 / $1,726.91	Facility		$1,097.96	$1,497.01	$1,726.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,069.29 / $1,497.01 / $2,138.58	Professional		$1,069.29	$1,497.01	$2,138.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.46 / $1,312.46 / $1,695.83	Facility		$1,312.46	$1,312.46	$1,695.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.99 / $1,661.72 / $2,538.42	Professional		$1,330.99	$1,661.72	$2,538.42
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 $1,087.99 / $1,638.62 / $2,299.82	Professional		$1,087.99	$1,638.62	$2,299.82