Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,619.27 / $8,229.00	Facility		$860.00	$1,619.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.60 / $1,466.21 / $1,914.03	Professional		$1,279.60	$1,466.21	$1,914.03
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 $1,132.71 / $1,372.59 / $2,042.31	Professional		$1,132.71	$1,372.59	$2,042.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,253.51 / $1,707.09 / $1,969.26	Facility		$1,253.51	$1,707.09	$1,969.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,191.91 / $1,707.09 / $2,438.69	Professional		$1,191.91	$1,707.09	$2,438.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.85 / $1,498.85 / $1,932.28	Facility		$1,498.85	$1,498.85	$1,932.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.68 / $1,875.29 / $2,850.10	Professional		$1,482.68	$1,875.29	$2,850.10
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 $1,433.11 / $2,079.60 / $2,732.75	Professional		$1,433.11	$2,079.60	$2,732.75