Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,727.31 / $8,229.00	Facility		$787.00	$1,727.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.64 / $1,900.57 / $2,459.29	Professional		$1,655.64	$1,900.57	$2,459.29
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 $1,576.70 / $1,865.21 / $2,633.32	Professional		$1,576.70	$1,865.21	$2,633.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,612.87 / $2,198.39 / $2,536.01	Facility		$1,612.87	$2,198.39	$2,536.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,805.82 / $2,198.39 / $3,140.56	Professional		$1,805.82	$2,198.39	$3,140.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.36 / $1,934.36 / $1,934.36	Facility		$1,934.36	$1,934.36	$1,934.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.16 / $2,416.92 / $3,761.00	Professional		$1,959.16	$2,416.92	$3,761.00
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 $1,672.51 / $2,444.29 / $3,462.24	Professional		$1,672.51	$2,444.29	$3,462.24