Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,550.26 / $8,229.00	Facility		$860.00	$1,550.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.28 / $1,324.83 / $1,589.79	Professional		$1,158.28	$1,324.83	$1,589.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.53 / $1,233.01 / $1,909.69	Professional		$1,017.53	$1,233.01	$1,909.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.70 / $1,543.71 / $1,780.78	Facility		$1,124.70	$1,543.71	$1,780.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.83 / $1,543.71 / $2,205.30	Professional		$1,077.83	$1,543.71	$2,205.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,356.50 / $1,356.50 / $1,849.94	Facility		$1,356.50	$1,356.50	$1,849.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.61 / $1,704.92 / $2,592.67	Professional		$1,327.61	$1,704.92	$2,592.67
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 $1,160.28 / $1,679.01 / $2,356.50	Professional		$1,160.28	$1,679.01	$2,356.50