Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,653.81 / $8,229.00	Facility		$860.00	$1,653.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.34 / $1,452.87 / $1,743.61	Professional		$1,270.34	$1,452.87	$1,743.61
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 $1,126.13 / $1,364.62 / $2,029.53	Professional		$1,126.13	$1,364.62	$2,029.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,233.42 / $1,692.92 / $1,952.92	Facility		$1,233.42	$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 / $1,973.50	Facility		$1,487.77	$1,487.77	$1,973.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.21 / $1,872.47 / $2,814.90	Professional		$1,464.21	$1,872.47	$2,814.90
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 $1,287.60 / $1,843.30 / $2,588.21	Professional		$1,287.60	$1,843.30	$2,588.21