Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,617.39 / $8,229.00	Facility		$860.00	$1,617.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.43 / $1,639.22 / $2,137.61	Professional		$1,428.43	$1,639.22	$2,137.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.96 / $1,198.16 / $1,997.77	Professional		$1,008.96	$1,198.16	$1,997.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,261.96 / $1,721.55 / $1,985.94	Facility		$1,261.96	$1,721.55	$1,985.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,350.30 / $1,721.55 / $2,459.36	Professional		$1,350.30	$1,721.55	$2,459.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,681.54 / $1,681.54 / $1,930.05	Facility		$1,681.54	$1,681.54	$1,930.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.28 / $1,981.63 / $3,201.00	Professional		$1,401.28	$1,981.63	$3,201.00
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 $1,416.37 / $2,053.71 / $2,886.02	Professional		$1,416.37	$2,053.71	$2,886.02