Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,017.70 / $8,229.00	Facility		$860.00	$2,017.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.86 / $1,712.01 / $2,225.38	Professional		$1,492.86	$1,712.01	$2,225.38
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 $1,363.81 / $1,652.62 / $2,407.54	Professional		$1,363.81	$1,652.62	$2,407.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,447.85 / $1,987.24 / $2,292.42	Facility		$1,447.85	$1,987.24	$2,292.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,387.52 / $1,987.24 / $2,838.92	Professional		$1,387.52	$1,987.24	$2,838.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,746.67 / $1,746.67 / $2,407.73	Facility		$1,746.67	$1,746.67	$2,407.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.04 / $2,205.04 / $3,439.02	Professional		$1,762.04	$2,205.04	$3,439.02
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 $1,534.94 / $2,172.67 / $3,049.36	Professional		$1,534.94	$2,172.67	$3,049.36