Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,875.15 / $8,229.00	Facility		$860.00	$1,875.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.15 / $1,611.97 / $2,316.02	Professional		$1,406.15	$1,611.97	$2,316.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.93 / $1,554.61 / $2,329.59	Professional		$1,282.93	$1,554.61	$2,329.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,374.02 / $1,871.83 / $2,159.29	Facility		$1,374.02	$1,871.83	$2,159.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,306.94 / $1,871.83 / $2,674.04	Professional		$1,306.94	$1,871.83	$2,674.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,645.97 / $1,645.97 / $2,237.62	Facility		$1,645.97	$1,645.97	$2,237.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.15 / $2,074.37 / $3,234.69	Professional		$1,659.15	$2,074.37	$3,234.69
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 $1,576.77 / $2,288.96 / $3,007.95	Professional		$1,576.77	$2,288.96	$3,007.95