Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,732.79 / $8,229.00	Facility		$787.00	$1,732.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,660.30 / $1,893.31 / $2,466.21	Professional		$1,660.30	$1,893.31	$2,466.21
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 $1,536.57 / $1,827.33 / $2,584.67	Professional		$1,536.57	$1,827.33	$2,584.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,617.99 / $2,205.36 / $2,544.04	Facility		$1,617.99	$2,205.36	$2,544.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,539.82 / $2,205.36 / $3,150.52	Professional		$1,539.82	$2,205.36	$3,150.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,940.15 / $1,940.15 / $1,940.15	Facility		$1,940.15	$1,940.15	$1,940.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,965.52 / $2,378.26 / $3,763.06	Professional		$1,965.52	$2,378.26	$3,763.06
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 $1,405.09 / $2,427.13 / $3,411.55	Professional		$1,405.09	$2,427.13	$3,411.55