Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,568.93 / $8,229.00	Facility		$860.00	$1,568.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.07 / $1,306.25 / $1,712.15	Professional		$1,143.07	$1,306.25	$1,712.15
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 $1,050.47 / $1,272.93 / $1,891.67	Professional		$1,050.47	$1,272.93	$1,891.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,114.74 / $1,520.04 / $1,753.47	Facility		$1,114.74	$1,520.04	$1,753.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,248.59 / $1,520.04 / $2,171.48	Professional		$1,248.59	$1,520.04	$2,171.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.51 / $1,333.51 / $1,872.79	Facility		$1,333.51	$1,333.51	$1,872.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.77 / $1,738.43 / $2,650.09	Professional		$1,367.77	$1,738.43	$2,650.09
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 $1,152.57 / $1,666.11 / $2,454.15	Professional		$1,152.57	$1,666.11	$2,454.15