Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,560.98 / $8,229.00	Facility		$860.00	$1,560.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.96 / $1,465.24 / $1,904.03	Professional		$1,279.96	$1,465.24	$1,904.03
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 $1,184.65 / $1,435.52 / $2,069.91	Professional		$1,184.65	$1,435.52	$2,069.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,697.49 / $1,958.18	Facility		$1,243.82	$1,697.49	$1,958.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,394.36 / $1,697.49 / $2,424.98	Professional		$1,394.36	$1,697.49	$2,424.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,490.36 / $1,490.36 / $1,862.72	Facility		$1,490.36	$1,490.36	$1,862.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.57 / $1,858.97 / $2,990.39	Professional		$1,521.57	$1,858.97	$2,990.39
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 $1,322.03 / $1,953.54 / $2,769.97	Professional		$1,322.03	$1,953.54	$2,769.97