Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,552.41 / $8,229.00	Facility		$860.00	$1,552.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.19 / $1,432.64 / $1,868.73	Professional		$1,250.19	$1,432.64	$1,868.73
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 $1,095.58 / $1,327.60 / $1,996.99	Professional		$1,095.58	$1,327.60	$1,996.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,222.71 / $1,665.48 / $1,921.26	Facility		$1,222.71	$1,665.48	$1,921.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.33 / $1,665.48 / $2,379.26	Professional		$1,300.33	$1,665.48	$2,379.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.29 / $1,464.29 / $1,852.50	Facility		$1,464.29	$1,464.29	$1,852.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.24 / $1,816.32 / $2,779.91	Professional		$1,436.24	$1,816.32	$2,779.91
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 $1,395.20 / $2,033.22 / $2,672.47	Professional		$1,395.20	$2,033.22	$2,672.47