Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,855.29 / $8,229.00	Facility		$860.00	$1,855.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.03 / $1,684.34 / $2,016.31	Professional		$1,469.03	$1,684.34	$2,016.31
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 $1,290.30 / $1,563.54 / $2,348.78	Professional		$1,290.30	$1,563.54	$2,348.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,435.85 / $1,956.09 / $2,256.50	Facility		$1,435.85	$1,956.09	$2,256.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,606.79 / $1,956.09 / $2,794.42	Professional		$1,606.79	$1,956.09	$2,794.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,719.58 / $1,719.58 / $2,213.92	Facility		$1,719.58	$1,719.58	$2,213.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.17 / $2,167.59 / $3,316.32	Professional		$1,685.17	$2,167.59	$3,316.32
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 $1,638.92 / $2,391.82 / $3,144.68	Professional		$1,638.92	$2,391.82	$3,144.68