Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,524.47 / $8,229.00	Facility		$860.00	$1,524.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.68 / $1,273.81 / $1,655.38	Professional		$1,110.68	$1,273.81	$1,655.38
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 $1,009.21 / $1,222.93 / $1,893.88	Professional		$1,009.21	$1,222.93	$1,893.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.30 / $1,475.89 / $1,702.55	Facility		$1,075.30	$1,475.89	$1,702.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,054.21 / $1,475.89 / $2,108.42	Professional		$1,054.21	$1,475.89	$2,108.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,298.42 / $1,298.42 / $1,855.13	Facility		$1,298.42	$1,298.42	$1,855.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.31 / $1,639.89 / $2,595.96	Professional		$1,310.31	$1,639.89	$2,595.96
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 $1,118.67 / $1,629.66 / $2,382.66	Professional		$1,118.67	$1,629.66	$2,382.66