Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,851.98 / $8,229.00	Facility		$860.00	$1,851.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.51 / $1,718.22 / $2,245.42	Professional		$1,502.51	$1,718.22	$2,245.42
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 $1,379.71 / $1,671.89 / $2,410.07	Professional		$1,379.71	$1,671.89	$2,410.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,463.27 / $1,995.73 / $2,302.21	Facility		$1,463.27	$1,995.73	$2,302.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,393.45 / $1,995.73 / $2,851.04	Professional		$1,393.45	$1,995.73	$2,851.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,752.08 / $1,752.08 / $2,209.98	Facility		$1,752.08	$1,752.08	$2,209.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.77 / $2,223.14 / $3,450.00	Professional		$1,782.77	$2,223.14	$3,450.00
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 $1,549.69 / $2,196.17 / $3,234.92	Professional		$1,549.69	$2,196.17	$3,234.92