Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,815.73 / $8,229.00	Facility		$860.00	$1,815.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.07 / $1,700.66 / $2,213.55	Professional		$1,481.07	$1,700.66	$2,213.55
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 $1,378.55 / $1,640.97 / $2,342.90	Professional		$1,378.55	$1,640.97	$2,342.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,442.84 / $1,980.37 / $2,284.50	Facility		$1,442.84	$1,980.37	$2,284.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,626.73 / $1,980.37 / $2,829.10	Professional		$1,626.73	$1,980.37	$2,829.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,744.02 / $1,744.02 / $2,166.73	Facility		$1,744.02	$1,744.02	$2,166.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.70 / $2,195.60 / $3,375.18	Professional		$1,760.70	$2,195.60	$3,375.18
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 $1,534.60 / $2,177.86 / $3,056.64	Professional		$1,534.60	$2,177.86	$3,056.64