Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,575.44 / $8,229.00	Facility		$860.00	$1,575.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.66 / $1,536.53 / $1,833.26	Professional		$1,335.66	$1,536.53	$1,833.26
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 $1,194.78 / $1,447.80 / $2,136.44	Professional		$1,194.78	$1,447.80	$2,136.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,304.47 / $1,777.83 / $2,050.86	Facility		$1,304.47	$1,777.83	$2,050.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.53 / $1,777.83 / $2,539.76	Professional		$1,385.53	$1,777.83	$2,539.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.99 / $1,573.99 / $1,879.99	Facility		$1,573.99	$1,573.99	$1,879.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.68 / $1,923.69 / $3,019.14	Professional		$1,575.68	$1,923.69	$3,019.14
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 $1,361.62 / $2,172.88 / $3,029.11	Professional		$1,361.62	$2,172.88	$3,029.11