Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,730.53 / $8,229.00	Facility		$860.00	$1,730.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.88 / $1,536.05 / $1,839.05	Professional		$1,339.88	$1,536.05	$1,839.05
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 $1,214.24 / $1,471.38 / $2,143.98	Professional		$1,214.24	$1,471.38	$2,143.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,309.51 / $1,783.99 / $2,057.96	Facility		$1,309.51	$1,783.99	$2,057.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,245.60 / $1,783.99 / $2,548.56	Professional		$1,245.60	$1,783.99	$2,548.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,569.18 / $1,569.18 / $2,065.06	Facility		$1,569.18	$1,569.18	$2,065.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.65 / $1,978.11 / $3,090.53	Professional		$1,581.65	$1,978.11	$3,090.53
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 $1,377.92 / $2,027.38 / $2,788.04	Professional		$1,377.92	$2,027.38	$2,788.04