Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,571.98 / $8,229.00	Facility		$860.00	$1,571.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.99 / $1,396.80 / $1,815.74	Professional		$1,217.99	$1,396.80	$1,815.74
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 $1,069.25 / $1,295.69 / $2,037.60	Professional		$1,069.25	$1,295.69	$2,037.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,187.74 / $1,618.34 / $1,866.88	Facility		$1,187.74	$1,618.34	$1,866.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,129.95 / $1,618.34 / $2,311.92	Professional		$1,129.95	$1,618.34	$2,311.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $1,875.84	Facility		$1,423.75	$1,423.75	$1,875.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.46 / $1,829.95 / $2,835.39	Professional		$1,437.46	$1,829.95	$2,835.39
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 $1,253.11 / $1,773.56 / $2,489.19	Professional		$1,253.11	$1,773.56	$2,489.19