Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,765.16 / $8,229.00	Facility		$860.00	$1,765.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.05 / $1,475.09 / $1,916.20	Professional		$1,286.05	$1,475.09	$1,916.20
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 $1,192.79 / $1,445.39 / $2,169.11	Professional		$1,192.79	$1,445.39	$2,169.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,253.33 / $1,707.82 / $1,970.09	Facility		$1,253.33	$1,707.82	$1,970.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,402.85 / $1,707.82 / $2,439.73	Professional		$1,402.85	$1,707.82	$2,439.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.68 / $1,502.68 / $2,126.71	Facility		$1,502.68	$1,502.68	$2,126.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.33 / $1,934.35 / $3,003.34	Professional		$1,517.33	$1,934.35	$3,003.34
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 $1,323.75 / $1,874.03 / $2,726.00	Professional		$1,323.75	$1,874.03	$2,726.00