Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,758.04 / $8,229.00	Facility		$860.00	$1,758.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,356.91 / $1,551.20 / $1,862.43	Professional		$1,356.91	$1,551.20	$1,862.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.58 / $1,511.92 / $2,237.44	Professional		$1,260.58	$1,511.92	$2,237.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.68 / $1,807.22 / $2,084.76	Facility		$1,326.68	$1,807.22	$2,084.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,261.83 / $1,807.22 / $2,581.73	Professional		$1,261.83	$1,807.22	$2,581.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,588.61 / $1,588.61 / $2,097.88	Facility		$1,588.61	$1,588.61	$2,097.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.06 / $2,001.33 / $3,188.16	Professional		$1,601.06	$2,001.33	$3,188.16
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 $1,521.73 / $2,208.37 / $2,903.34	Professional		$1,521.73	$2,208.37	$2,903.34