Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,955.60 / $8,229.00	Facility		$860.00	$1,955.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,517.92 / $1,740.49 / $2,083.42	Professional		$1,517.92	$1,740.49	$2,083.42
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 $1,390.96 / $1,685.52 / $2,454.14	Professional		$1,390.96	$1,685.52	$2,454.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,483.20 / $2,020.66 / $2,330.98	Facility		$1,483.20	$2,020.66	$2,330.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,410.86 / $2,020.66 / $2,886.66	Professional		$1,410.86	$2,020.66	$2,886.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,775.81 / $1,775.81 / $2,333.62	Facility		$1,775.81	$1,775.81	$2,333.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.70 / $2,240.12 / $3,508.63	Professional		$1,790.70	$2,240.12	$3,508.63
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 $1,559.63 / $2,529.19 / $3,279.83	Professional		$1,559.63	$2,529.19	$3,279.83