Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,077.75 / $8,229.00	Facility		$860.00	$2,077.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.79 / $1,733.86 / $2,251.42	Professional		$1,513.79	$1,733.86	$2,251.42
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 $1,484.87 / $1,746.91 / $2,476.21	Professional		$1,484.87	$1,746.91	$2,476.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,469.96 / $2,005.78 / $2,313.82	Facility		$1,469.96	$2,005.78	$2,313.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,432.70 / $2,005.78 / $2,865.40	Professional		$1,432.70	$2,005.78	$2,865.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.61 / $1,762.61 / $1,762.61	Facility		$1,762.61	$1,762.61	$1,762.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.96 / $2,678.05 / $4,834.58	Professional		$1,616.96	$2,678.05	$4,834.58
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 $1,864.52 / $2,832.11 / $3,404.34	Professional		$1,864.52	$2,832.11	$3,404.34