Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,916.49 / $8,229.00	Facility		$860.00	$1,916.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.93 / $1,685.35 / $2,193.23	Professional		$1,469.93	$1,685.35	$2,193.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.92 / $1,626.09 / $2,451.06	Professional		$1,341.92	$1,626.09	$2,451.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,436.73 / $1,957.28 / $2,257.87	Facility		$1,436.73	$1,957.28	$2,257.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,366.60 / $1,957.28 / $2,796.12	Professional		$1,366.60	$1,957.28	$2,796.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,720.62 / $1,720.62 / $2,286.94	Facility		$1,720.62	$1,720.62	$2,286.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.97 / $2,169.85 / $3,463.03	Professional		$1,734.97	$2,169.85	$3,463.03
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 $1,510.60 / $2,248.03 / $3,175.81	Professional		$1,510.60	$2,248.03	$3,175.81