Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,482.11 / $8,229.00	Facility		$860.00	$1,482.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.10 / $1,691.23 / $2,034.26	Professional		$1,395.10	$1,691.23	$2,034.26
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 $1,346.67 / $1,584.32 / $2,159.10	Professional		$1,346.67	$1,584.32	$2,159.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,446.11 / $1,970.77 / $2,273.42	Facility		$1,446.11	$1,970.77	$2,273.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,529.76 / $1,970.77 / $2,815.38	Professional		$1,529.76	$1,970.77	$2,815.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.84 / $1,732.84 / $1,732.84	Facility		$1,732.84	$1,732.84	$1,732.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,754.89 / $2,132.63 / $3,371.03	Professional		$1,754.89	$2,132.63	$3,371.03
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 $1,494.91 / $2,119.73 / $3,083.82	Professional		$1,494.91	$2,119.73	$3,083.82