Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,690.66 / $8,229.00	Facility		$860.00	$1,690.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.77 / $1,411.55 / $1,841.27	Professional		$1,231.77	$1,411.55	$1,841.27
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 $1,121.06 / $1,358.47 / $2,032.01	Professional		$1,121.06	$1,358.47	$2,032.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,205.84 / $1,642.38 / $1,894.60	Facility		$1,205.84	$1,642.38	$1,894.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,146.73 / $1,642.38 / $2,346.26	Professional		$1,146.73	$1,642.38	$2,346.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.82 / $1,442.82 / $2,078.91	Facility		$1,442.82	$1,442.82	$2,078.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.33 / $1,814.34 / $2,830.90	Professional		$1,452.33	$1,814.34	$2,830.90
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 $1,238.49 / $1,787.09 / $2,508.19	Professional		$1,238.49	$1,787.09	$2,508.19