Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,525.65 / $8,229.00	Facility		$860.00	$1,525.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.65 / $1,741.32 / $2,262.36	Professional		$1,525.65	$1,741.32	$2,262.36
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 $1,104.88 / $1,317.77 / $2,172.46	Professional		$1,104.88	$1,317.77	$2,172.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.34 / $2,017.16 / $2,326.94	Facility		$1,477.34	$2,017.16	$2,326.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,408.41 / $2,017.16 / $2,881.66	Professional		$1,408.41	$2,017.16	$2,881.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.06 / $1,775.23 / $1,775.23	Facility		$1,770.06	$1,775.23	$1,775.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.85 / $2,228.56 / $3,419.07	Professional		$1,495.85	$2,228.56	$3,419.07
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 $1,180.00 / $1,797.82 / $3,159.90	Professional		$1,180.00	$1,797.82	$3,159.90