Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,405.37 / $8,229.00	Facility		$860.00	$1,405.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.45 / $1,264.84 / $1,620.96	Professional		$1,099.45	$1,264.84	$1,620.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.61 / $1,275.49 / $1,783.30	Professional		$1,073.61	$1,275.49	$1,783.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.90 / $1,462.02 / $1,686.55	Facility		$1,071.90	$1,462.02	$1,686.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,200.95 / $1,462.02 / $2,088.60	Professional		$1,200.95	$1,462.02	$2,088.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.90 / $1,286.90 / $1,677.04	Facility		$1,286.90	$1,286.90	$1,677.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.27 / $1,648.65 / $2,733.19	Professional		$1,311.27	$1,648.65	$2,733.19
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 $1,131.41 / $1,667.78 / $2,376.42	Professional		$1,131.41	$1,667.78	$2,376.42