Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,790.20 / $8,229.00	Facility		$860.00	$1,790.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.06 / $1,547.93 / $2,014.32	Professional		$1,350.06	$1,547.93	$2,014.32
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 $1,273.61 / $1,516.06 / $2,201.92	Professional		$1,273.61	$1,516.06	$2,201.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,319.10 / $1,797.05 / $2,073.03	Facility		$1,319.10	$1,797.05	$2,073.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,254.73 / $1,797.05 / $2,567.21	Professional		$1,254.73	$1,797.05	$2,567.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.98 / $1,579.98 / $2,136.23	Facility		$1,579.98	$1,579.98	$2,136.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.81 / $1,994.83 / $3,236.27	Professional		$1,571.81	$1,994.83	$3,236.27
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 $1,358.31 / $1,962.60 / $2,754.52	Professional		$1,358.31	$1,962.60	$2,754.52