Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,027.51 / $8,229.00	Facility		$860.00	$2,027.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.17 / $1,711.27 / $2,224.29	Professional		$1,492.17	$1,711.27	$2,224.29
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 $1,360.50 / $1,648.61 / $2,456.41	Professional		$1,360.50	$1,648.61	$2,456.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.64 / $1,985.94 / $2,290.92	Facility		$1,457.64	$1,985.94	$2,290.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,631.31 / $1,985.94 / $2,837.06	Professional		$1,631.31	$1,985.94	$2,837.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $2,419.42	Facility		$1,745.52	$1,745.52	$2,419.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.18 / $2,204.00 / $3,432.84	Professional		$1,761.18	$2,204.00	$3,432.84
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 $1,501.62 / $2,171.21 / $3,047.32	Professional		$1,501.62	$2,171.21	$3,047.32