Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,925.59 / $8,229.00	Facility		$860.00	$1,925.59	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.79 / $1,620.65 / $2,110.52	Professional		$1,413.79	$1,620.65	$2,110.52
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 $1,281.15 / $1,552.46 / $2,377.28	Professional		$1,281.15	$1,552.46	$2,377.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.61 / $1,883.97 / $2,173.30	Facility		$1,372.61	$1,883.97	$2,173.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,315.41 / $1,883.97 / $2,691.38	Professional		$1,315.41	$1,883.97	$2,691.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,655.22 / $1,655.22 / $2,297.81	Facility		$1,655.22	$1,655.22	$2,297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.92 / $2,086.59 / $3,234.85	Professional		$1,663.92	$2,086.59	$3,234.85
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 $1,422.42 / $2,054.67 / $2,883.76	Professional		$1,422.42	$2,054.67	$2,883.76