Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,614.13 / $8,229.00	Facility		$860.00	$1,614.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,370.52 / $2,015.88	Professional		$1,195.75	$1,370.52	$2,015.88
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 $1,069.41 / $1,295.86 / $1,988.82	Professional		$1,069.41	$1,295.86	$1,988.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.39 / $1,592.86 / $1,837.49	Facility		$1,169.39	$1,592.86	$1,837.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,242.61 / $1,592.86 / $2,275.52	Professional		$1,242.61	$1,592.86	$2,275.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.13 / $1,399.13 / $1,926.15	Facility		$1,399.13	$1,399.13	$1,926.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.55 / $1,786.15 / $2,743.14	Professional		$1,365.55	$1,786.15	$2,743.14
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 $1,202.24 / $1,735.59 / $2,556.50	Professional		$1,202.24	$1,735.59	$2,556.50