Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,642.92 / $8,229.00	Facility		$860.00	$1,642.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.34 / $1,455.86 / $1,898.43	Professional		$1,270.34	$1,455.86	$1,898.43
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 $1,092.00 / $1,323.25 / $2,112.46	Professional		$1,092.00	$1,323.25	$2,112.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.90 / $1,692.92 / $1,952.92	Facility		$1,242.90	$1,692.92	$1,952.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,390.61 / $1,692.92 / $2,418.46	Professional		$1,390.61	$1,692.92	$2,418.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.77 / $1,487.77 / $1,960.50	Facility		$1,487.77	$1,487.77	$1,960.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.46 / $1,863.61 / $2,877.15	Professional		$1,487.46	$1,863.61	$2,877.15
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 $1,246.22 / $1,705.13 / $2,588.21	Professional		$1,246.22	$1,705.13	$2,588.21