Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,100.98 / $8,229.00	Facility		$860.00	$2,100.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.76 / $1,844.86 / $2,398.44	Professional		$1,608.76	$1,844.86	$2,398.44
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 $1,440.85 / $1,745.97 / $2,576.33	Professional		$1,440.85	$1,745.97	$2,576.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,571.41 / $2,141.01 / $2,469.81	Facility		$1,571.41	$2,141.01	$2,469.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,494.88 / $2,141.01 / $3,058.58	Professional		$1,494.88	$2,141.01	$3,058.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,883.08 / $1,883.08 / $2,507.13	Facility		$1,883.08	$1,883.08	$2,507.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,881.44 / $2,377.12 / $3,577.67	Professional		$1,881.44	$2,377.12	$3,577.67
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 $1,393.06 / $2,220.34 / $3,286.04	Professional		$1,393.06	$2,220.34	$3,286.04