Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,576.94 / $8,229.00	Facility		$860.00	$1,576.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.96 / $1,588.52 / $2,087.83	Professional		$1,395.96	$1,588.52	$2,087.83
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 $1,196.92 / $1,432.63 / $2,046.70	Professional		$1,196.92	$1,432.63	$2,046.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,360.22 / $1,855.06 / $2,139.92	Facility		$1,360.22	$1,855.06	$2,139.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,455.44 / $1,855.06 / $2,650.08	Professional		$1,455.44	$1,855.06	$2,650.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,628.71 / $1,628.71 / $1,881.77	Facility		$1,628.71	$1,628.71	$1,881.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.24 / $1,995.65 / $3,037.11	Professional		$1,575.24	$1,995.65	$3,037.11
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 $1,519.13 / $2,072.77 / $3,002.51	Professional		$1,519.13	$2,072.77	$3,002.51