Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,510.70 / $8,229.00	Facility		$860.00	$1,510.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.30 / $1,510.70 / $1,978.85	Professional		$1,325.30	$1,510.70	$1,978.85
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 $1,153.91 / $1,373.57 / $1,879.86	Professional		$1,153.91	$1,373.57	$1,879.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,281.35 / $1,758.74 / $2,028.82	Facility		$1,281.35	$1,758.74	$2,028.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $1,758.74 / $2,512.48	Professional		$1,256.24	$1,758.74	$2,512.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.05 / $1,544.05 / $1,802.73	Facility		$1,544.05	$1,544.05	$1,802.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.70 / $1,824.76 / $2,932.62	Professional		$1,453.70	$1,824.76	$2,932.62
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 $1,338.50 / $1,939.55 / $2,722.18	Professional		$1,338.50	$1,939.55	$2,722.18