Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,807.35 / $8,229.00	Facility		$860.00	$1,807.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.78 / $1,507.79 / $1,956.86	Professional		$1,316.78	$1,507.79	$1,956.86
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 $1,295.66 / $1,524.31 / $2,108.19	Professional		$1,295.66	$1,524.31	$2,108.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,277.79 / $1,744.13 / $2,011.99	Facility		$1,277.79	$1,744.13	$2,011.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,217.78 / $1,744.13 / $2,491.62	Professional		$1,217.78	$1,744.13	$2,491.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.31 / $1,533.31 / $1,533.31	Facility		$1,533.31	$1,533.31	$1,533.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.57 / $2,301.52 / $4,158.89	Professional		$1,405.57	$2,301.52	$4,158.89
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 $1,493.99 / $2,409.96 / $2,881.58	Professional		$1,493.99	$2,409.96	$2,881.58