Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,617.92 / $8,229.00	Facility		$860.00	$1,617.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.81 / $1,407.33 / $1,685.23	Professional		$1,227.81	$1,407.33	$1,685.23
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 $1,117.60 / $1,354.29 / $2,044.51	Professional		$1,117.60	$1,354.29	$2,044.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,201.08 / $1,636.03 / $1,887.27	Facility		$1,201.08	$1,636.03	$1,887.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.30 / $1,636.03 / $2,337.17	Professional		$1,142.30	$1,636.03	$2,337.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.20 / $1,437.20 / $1,930.68	Facility		$1,437.20	$1,437.20	$1,930.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.17 / $1,836.15 / $2,882.15	Professional		$1,448.17	$1,836.15	$2,882.15
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 $1,376.93 / $1,997.36 / $2,626.88	Professional		$1,376.93	$1,997.36	$2,626.88