Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,749.64 / $8,229.00	Facility		$860.00	$1,749.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.22 / $1,597.93 / $2,042.89	Professional		$1,388.22	$1,597.93	$2,042.89
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 $1,141.77 / $1,343.26 / $2,007.45	Professional		$1,141.77	$1,343.26	$2,007.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,352.46 / $1,845.09 / $2,128.44	Facility		$1,352.46	$1,845.09	$2,128.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,447.13 / $1,845.09 / $2,965.32	Professional		$1,447.13	$1,845.09	$2,965.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,624.49 / $1,624.49 / $2,087.86	Facility		$1,624.49	$1,624.49	$2,087.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.12 / $2,048.69 / $3,271.88	Professional		$1,479.12	$2,048.69	$3,271.88
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 $1,430.04 / $2,127.51 / $3,033.11	Professional		$1,430.04	$2,127.51	$3,033.11