Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,958.15 / $8,229.00	Facility		$860.00	$1,958.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.77 / $1,696.44 / $2,029.69	Professional		$1,478.77	$1,696.44	$2,029.69
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 $1,303.21 / $1,580.28 / $2,484.73	Professional		$1,303.21	$1,580.28	$2,484.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,441.78 / $1,964.75 / $2,266.46	Facility		$1,441.78	$1,964.75	$2,266.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,371.81 / $1,964.75 / $2,806.78	Professional		$1,371.81	$1,964.75	$2,806.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,728.59 / $1,728.59 / $2,336.67	Facility		$1,728.59	$1,728.59	$2,336.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.53 / $2,274.56 / $3,368.44	Professional		$1,792.53	$2,274.56	$3,368.44
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 $1,489.88 / $2,294.42 / $3,040.12	Professional		$1,489.88	$2,294.42	$3,040.12